Data regarding high-sensitivity troponin concentrations in patients presenting to the emergency department with symptoms suggestive of myocardial infarction may be useful in determining the probability of myocardial infarction and subsequent outcomes. https://t.co/AWVBr9UDbC
Application of High-Sensitivity Troponin in Suspected Myocardial Infarction.
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Jun 2019 – Apr 2024Where it's discussed
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AI synopsis
What people are saying
Various discussions emphasize the practical applications of high-sensitivity troponin, with posts referencing its role in risk stratification for myocardial infarction. For instance, one participant noted the high negative predictive value of less than 6 ng/L for troponin, while another discussed the integration of this tool into emergency algorithms. The use of phrases like 'game changer' and 'must consider' demonstrates a tone of excitement and urgency, reflecting the perceived importance of adopting these findings in clinical settings.
Many posts reflect a supportive stance towards the findings presented in the publication, indicating general agreement in the medical community about the utility of high-sensitivity troponin.
There is a high level of interest shown in the discussions, with many users expressing curiosity about how the findings could influence clinical practice.
While most discussions reference the findings, they tend to lack in-depth analysis, although they do include mentions of clinical applications and implications.
The majority of participants perceive this research as having significant implications for emergency medicine, particularly in improving patient care in cases of suspected myocardial infarction.
Abstract in brief
- High-sensitivity troponin levels can be useful in the emergency department for evaluating patients with possible myocardial infarction (heart attack) and predicting their risk of serious outcomes within 30 days.
- Researchers assessed troponin I and T concentrations in a large group of 22,651 patients across 15 international studies, helping to create a risk assessment tool based on troponin levels.
- Lower initial troponin levels and small changes in levels after testing correlated with a lower chance of having a heart attack, showing that certain thresholds can significantly predict low risk for myocardial infarction and related complications.
Top posts
Most liked on X and BlueskyEn ptes q consultan al servicio de urgencias por dolor torácico, tome troponina I inicial y repita una 2da medición entre 45-120 min después. La doble negatividad de ambas pruebas descarts SCA con alta probabilidad (N Engl J Med 2019; 380:2529-2540 DOI: 10.1056/NEJMoa1803377)
New online tool (https://t.co/bqCIOIsc7U) to estimate the probability of myocardial infarction by serial troponin assessments, replicating the results of a study presented at #ESC2018 and now available in #NEJM. Figures are mesmerizing. https://t.co/tfo5oAZhUU https://t.co/obkHWvaZ1n
The past, present and future of suspected acute coronary syndrome algorithms. Build your own algorithm @RTwerenbold @procardioforum @LEGOIdeas #procardio2019 #compassMI https://t.co/YCpXOIfXvs https://t.co/SpfWUiIBdC
Application of High-Sensitivity Troponin in Suspected Myocardial Infarction https://t.co/Hkb5lyCDkL
Application of High-Sensitivity Troponin in Suspected Myocardial Infarction | NEJM https://t.co/O3nZwDMsxK
All mentions
Understanding High Sensitivity Troponin Testing in Myocardial Infarction
In this episode, experts discuss high sensitivity troponin testing and its clinical implications in suspected myocardial infarction. Key topics include limits of detection, the significance of delta troponin results…
High-Sensitivity Troponin Testing in Myocardial Infarction Evaluation
This episode of EMplify Conversation features Sam Ashoo MD and TR Eckler MD discussing high-sensitivity troponin testing for evaluating myocardial infarction. The conversation covers assay limits, indeterminate results…
RT @koureiigaku: 今回の抄読会は、心筋梗塞疑い患者に対する高感度トロポニン検査についての論文を宮本孝英先生が読みました。 結果、受診時の高感度トロポニン値が低く、2回目測定時の絶対値変化が小さいことは、受診時の心筋梗塞とその後の発症リスクが低いことと関連しました…
RT @HighSTEACS: The past, present and future of suspected acute coronary syndrome algorithms. Build your own algorithm @RTwerenbold @procar…
RT @shawnkdowling: @profBEEM co-authored NEJM paper -https://t.co/s7tgqSrWly #skiBEEM2020 @EddyLang1 https://t.co/EAY9gTMNBM
@profBEEM co-authored NEJM paper -https://t.co/s7tgqSrWly #skiBEEM2020 @EddyLang1 https://t.co/EAY9gTMNBM
Application of High-Sensitivity Troponin in Suspected Myocardial Infarction | NEJM https://t.co/RpRBk0TY6T
@reverendofdoubt @EM_phile @jandersUF https://t.co/ppLdfM2Aaf
Application of High-Sensitivity Troponin in Suspected Myocardial Infarction. - PubMed - #NCBI https://t.co/FPQXFmsHr8
RT @YaseenarabiYa: Application of High-Sensitivity Troponin in Suspected Myocardial Infarction https://t.co/Hkb5lyCDkL
Application of High-Sensitivity Troponin in Suspected Myocardial Infarction https://t.co/Hkb5lyCDkL
RT @HighSTEACS: The past, present and future of suspected acute coronary syndrome algorithms. Build your own algorithm @RTwerenbold @procar…
RT @HighSTEACS: The past, present and future of suspected acute coronary syndrome algorithms. Build your own algorithm @RTwerenbold @procar…
RT @HighSTEACS: The past, present and future of suspected acute coronary syndrome algorithms. Build your own algorithm @RTwerenbold @procar…
RT @HighSTEACS: The past, present and future of suspected acute coronary syndrome algorithms. Build your own algorithm @RTwerenbold @procar…
RT @HighSTEACS: The past, present and future of suspected acute coronary syndrome algorithms. Build your own algorithm @RTwerenbold @procar…
The past, present and future of suspected acute coronary syndrome algorithms. Build your own algorithm @RTwerenbold @procardioforum @LEGOIdeas #procardio2019 #compassMI https://t.co/YCpXOIfXvs https://t.co/SpfWUiIBdC
The debates continue in our #journal_club Dr. Abdullah Alsheikh is discussing ( Application of High-Sensitivity Troponin in Suspected Myocardial Infarction). #FOAMed https://t.co/Ah0oAi5qU6 https://t.co/gqFe7jOYYE
心筋梗塞高リスク患者は、低リスク患者よりも受診時高感度トロポニンI/T値が高いか2回目との絶対差が大きい傾向があり*、30日間の心筋梗塞と全死亡リスクも高かったです。高感度トロポニンI/T値や絶対差が減少すると陽性的中率は低下し、高リスク患者割合が増加しました。 https://t.co/CMfwgxmKKF
COMPASS-MIプロジェクトでは、心筋梗塞疑い患者の15の国際コホートデータの救急外来受診時の高感度トロポニンから心筋梗塞の確率を計算し、11のコホートデータから長期リスクを推定しました(プロトコルは以下*)。 https://t.co/FPjOgV2aqF
今回の抄読会は、心筋梗塞疑い患者に対する高感度トロポニン検査についての論文を宮本孝英先生が読みました。 結果、受診時の高感度トロポニン値が低く、2回目測定時の絶対値変化が小さいことは、受診時の心筋梗塞とその後の発症リスクが低いことと関連しました。 https://t.co/ODaMfBW9Dr
Application of High-Sensitivity Troponin in Suspected Myocardial Infarction. - PubMed - NCBI https://t.co/buiwInmPky
RT @md_jramirez: En ptes q consultan al servicio de urgencias por dolor torácico, tome troponina I inicial y repita una 2da medición entre…
RT @md_jramirez: En ptes q consultan al servicio de urgencias por dolor torácico, tome troponina I inicial y repita una 2da medición entre…
RT @md_jramirez: En ptes q consultan al servicio de urgencias por dolor torácico, tome troponina I inicial y repita una 2da medición entre…
RT @md_jramirez: En ptes q consultan al servicio de urgencias por dolor torácico, tome troponina I inicial y repita una 2da medición entre…
RT @md_jramirez: En ptes q consultan al servicio de urgencias por dolor torácico, tome troponina I inicial y repita una 2da medición entre…
RT @md_jramirez: En ptes q consultan al servicio de urgencias por dolor torácico, tome troponina I inicial y repita una 2da medición entre…
RT @md_jramirez: En ptes q consultan al servicio de urgencias por dolor torácico, tome troponina I inicial y repita una 2da medición entre…
RT @md_jramirez: En ptes q consultan al servicio de urgencias por dolor torácico, tome troponina I inicial y repita una 2da medición entre…
RT @md_jramirez: En ptes q consultan al servicio de urgencias por dolor torácico, tome troponina I inicial y repita una 2da medición entre…
En ptes q consultan al servicio de urgencias por dolor torácico, tome troponina I inicial y repita una 2da medición entre 45-120 min después. La doble negatividad de ambas pruebas descarts SCA con alta probabilidad (N Engl J Med 2019; 380:2529-2540 DOI: 10.1056/NEJMoa1803377)
El otro estudio que aporta a la discusión es el de @NEJM que incluye no solo un valor inicial < 6 ng/L sino un cambio absoluto de < de 4 ng/L a los 45-120 minutos. El VPN es del 99.5% y el riesgo de muerte o infarto a 30 días de 0.2%. https://t.co/dxq8RFITt5
RT @DFCapodanno: New online tool (https://t.co/bqCIOIsc7U) to estimate the probability of myocardial infarction by serial troponin assessme…
RT @DFCapodanno: New online tool (https://t.co/bqCIOIsc7U) to estimate the probability of myocardial infarction by serial troponin assessme…
Application of High-Sensitivity Troponin in Suspected Myocardial Infarction | NEJM https://t.co/KyekPGO7eq
RT @DFCapodanno: New online tool (https://t.co/bqCIOIsc7U) to estimate the probability of myocardial infarction by serial troponin assessme…
RT @DFCapodanno: New online tool (https://t.co/bqCIOIsc7U) to estimate the probability of myocardial infarction by serial troponin assessme…
RT @DFCapodanno: New online tool (https://t.co/bqCIOIsc7U) to estimate the probability of myocardial infarction by serial troponin assessme…
RT @DFCapodanno: New online tool (https://t.co/bqCIOIsc7U) to estimate the probability of myocardial infarction by serial troponin assessme…
RT @DFCapodanno: New online tool (https://t.co/bqCIOIsc7U) to estimate the probability of myocardial infarction by serial troponin assessme…
RT @DFCapodanno: New online tool (https://t.co/bqCIOIsc7U) to estimate the probability of myocardial infarction by serial troponin assessme…
RT @DFCapodanno: New online tool (https://t.co/bqCIOIsc7U) to estimate the probability of myocardial infarction by serial troponin assessme…
@cshenoy3 @MasriAhmadMD @EuroCardioOnc @ICOSociety @DLenihanICOS_MD @arjunkg @onco_cardiology @CardioOncology @DrGuptaD @datsunian @jelevenson We need an online tool like this https://t.co/KEFvrVqkEr ? #CardioOnc @EuroCardioOnc @ICOSociety @DLenihanICOS_MD @arjunkg @onco_cardiology @CardioOncology @DrGuptaD @datsunian @jelevenson (Fig from NEJM paper https://t.co/UQYX1n3UGZ … https://t.co/ZUwdRtd6m1
RT @DFCapodanno: New online tool (https://t.co/bqCIOIsc7U) to estimate the probability of myocardial infarction by serial troponin assessme…
RT @DFCapodanno: New online tool (https://t.co/bqCIOIsc7U) to estimate the probability of myocardial infarction by serial troponin assessme…
RT @DFCapodanno: New online tool (https://t.co/bqCIOIsc7U) to estimate the probability of myocardial infarction by serial troponin assessme…
RT @DFCapodanno: New online tool (https://t.co/bqCIOIsc7U) to estimate the probability of myocardial infarction by serial troponin assessme…
RT @DFCapodanno: New online tool (https://t.co/bqCIOIsc7U) to estimate the probability of myocardial infarction by serial troponin assessme…
RT @DFCapodanno: New online tool (https://t.co/bqCIOIsc7U) to estimate the probability of myocardial infarction by serial troponin assessme…
RT @DFCapodanno: New online tool (https://t.co/bqCIOIsc7U) to estimate the probability of myocardial infarction by serial troponin assessme…
New online tool (https://t.co/bqCIOIsc7U) to estimate the probability of myocardial infarction by serial troponin assessments, replicating the results of a study presented at #ESC2018 and now available in #NEJM. Figures are mesmerizing. https://t.co/tfo5oAZhUU https://t.co/obkHWvaZ1n
Potential new diagnostic test and predictor for #heartattack at 30 days in patients presenting to #emergencydepartment with #chestpain. #EMFgrant to #RBWH team to lead #Qld arm of trial thx to @qldhealthnews. @NEMJ https://t.co/lpC0p2u5bA
RT @jlmartincal: Application of High-Sensitivity Troponin in Suspected Myocardial Infarction | NEJM https://t.co/PmkrpvdmgQ
Application of High-Sensitivity Troponin in Suspected Myocardial Infarction | NEJM https://t.co/PmkrpvdmgQ
RT @RevistaMFSamfyc: Aplicación de troponina de gran sensibilidad en la sospecha de infarto de miocardio https://t.co/AWwldxEONZ PMID 31242…
Sigo pensando que es más útil sólo para descartar eventos de forma rápida. Algo así como el dímero D. Application of High-Sensitivity Troponin in Suspected Myocardial Infarction | NEJM https://t.co/lt9AoyvAiZ
hsT is one of the important markers, to rule-in or to rule-out ACS. Other variables like age, ECG, comorbidities like DM etc. are equally impactful. Application of High-Sensitivity Troponin in Suspected Myocardial Infarction https://t.co/yk1iJGJSFm via @practiceupdate
Application of High-Sensitivity Troponin in Suspected Myocardial Infarction | NEJM https://t.co/FVoE1rAeTM
Application of High-Sensitivity Troponin in Suspected Myocardial Infarction | NEJM https://t.co/qWrlwN0dsg
A risk-assessment tool developed to integrate the high-sensitivity troponin in the ED to estimate the probability of myocardial infarction and 30-day outcomes. Is this too complicated? | NEJM https://t.co/Ahzb0JHDZx
New algorithm for analysis of #troponin in @NEJM. Calculator: https://t.co/opbcGgmvqx Study: https://t.co/AuvLi8UJYk Look at the level & timing of hs-troponin for 30d MI/death. Will have to see if this helps reduce ER times, improve patient care or increases troponin orders
Aplicación de troponina de gran sensibilidad en la sospecha de infarto de miocardio https://t.co/AWwldxEONZ PMID 31242362
Application of High-Sensitivity Troponin in Suspected Myocardial Infarction | NEJM | @scoopit https://t.co/zQ6fnlrhWX
Application of high-sensitivity troponin in suspected myocardial infarction https://t.co/btg2XGAEa3 #pharmacists #pharmacy #health #healthcare
Application of High-Sensitivity Troponin in Suspected Myocardial Infarction | NEJM If hs Troponin is Lw and Changes Low Then Negative Predictive Value is High 99.5% for MI....! @JPUsdin https://t.co/r3aenHQ0Vh
RT @NatRevCardiol: Application of High-Sensitivity Troponin in Suspected Myocardial Infarction | NEJM https://t.co/O3nZwDMsxK
Enfarte agudo do miocárdio: troponina I de alta sensibilidade <6 ng/l e uma alteração absoluta inferior a 4 ng/l após 45 a 120 minutos VPN = 99,5%; Risco de 30 dias de EAM subsequente ou morte de 0,2% https://t.co/CsTuG2iLKm #diagnóstico #evidentiamedica
Cool. New algorithm to rule out MI. #cardiology Application of High-Sensitivity Troponin in Suspected Myocardial Infarction | NEJM https://t.co/gbK1vTCLx7
RT @NEJM: Data regarding high-sensitivity troponin concentrations in patients presenting to the emergency department with symptoms suggesti…
RT @NEJM: Data regarding high-sensitivity troponin concentrations in patients presenting to the emergency department with symptoms suggesti…
RT @NEJM: Data regarding high-sensitivity troponin concentrations in patients presenting to the emergency department with symptoms suggesti…
RT @NEJM: Data regarding high-sensitivity troponin concentrations in patients presenting to the emergency department with symptoms suggesti…
RT @NEJM: Data regarding high-sensitivity troponin concentrations in patients presenting to the emergency department with symptoms suggesti…
RT @NEJM: Data regarding high-sensitivity troponin concentrations in patients presenting to the emergency department with symptoms suggesti…
RT @NEJM: Data regarding high-sensitivity troponin concentrations in patients presenting to the emergency department with symptoms suggesti…
RT @NEJM: Data regarding high-sensitivity troponin concentrations in patients presenting to the emergency department with symptoms suggesti…
RT @NEJM: Data regarding high-sensitivity troponin concentrations in patients presenting to the emergency department with symptoms suggesti…
RT @NEJM: Data regarding high-sensitivity troponin concentrations in patients presenting to the emergency department with symptoms suggesti…
RT @NEJM: Data regarding high-sensitivity troponin concentrations in patients presenting to the emergency department with symptoms suggesti…
RT @vass_vassiliou: Fresh from the @nejm Serial early high sensitivity troponin can predict MI and 30 day events. https://t.co/8tOf0exNdy G…
RT @NEJM: Data regarding high-sensitivity troponin concentrations in patients presenting to the emergency department with symptoms suggesti…
RT @NEJM: Data regarding high-sensitivity troponin concentrations in patients presenting to the emergency department with symptoms suggesti…
RT @NEJM: Data regarding high-sensitivity troponin concentrations in patients presenting to the emergency department with symptoms suggesti…
RT @NEJM: Data regarding high-sensitivity troponin concentrations in patients presenting to the emergency department with symptoms suggesti…
RT @NEJM: Data regarding high-sensitivity troponin concentrations in patients presenting to the emergency department with symptoms suggesti…
RT @NEJM: Data regarding high-sensitivity troponin concentrations in patients presenting to the emergency department with symptoms suggesti…
RT @NEJM: Data regarding high-sensitivity troponin concentrations in patients presenting to the emergency department with symptoms suggesti…
RT @NEJM: Data regarding high-sensitivity troponin concentrations in patients presenting to the emergency department with symptoms suggesti…
RT @NEJM: Data regarding high-sensitivity troponin concentrations in patients presenting to the emergency department with symptoms suggesti…
RT @NEJM: Data regarding high-sensitivity troponin concentrations in patients presenting to the emergency department with symptoms suggesti…
RT @NEJM: Data regarding high-sensitivity troponin concentrations in patients presenting to the emergency department with symptoms suggesti…
RT @NEJM: Data regarding high-sensitivity troponin concentrations in patients presenting to the emergency department with symptoms suggesti…
RT @NEJM: Data regarding high-sensitivity troponin concentrations in patients presenting to the emergency department with symptoms suggesti…
RT @NEJM: Data regarding high-sensitivity troponin concentrations in patients presenting to the emergency department with symptoms suggesti…
RT @NEJM: Data regarding high-sensitivity troponin concentrations in patients presenting to the emergency department with symptoms suggesti…
RT @NEJM: Data regarding high-sensitivity troponin concentrations in patients presenting to the emergency department with symptoms suggesti…
RT @NEJM: Data regarding high-sensitivity troponin concentrations in patients presenting to the emergency department with symptoms suggesti…
Data regarding high-sensitivity troponin concentrations in patients presenting to the emergency department with symptoms suggestive of myocardial infarction may be useful in determining the probability of myocardial infarction and subsequent outcomes. https://t.co/AWVBr9UDbC
Haven’t read the whole paper yet but how the heck can any kind of f/u “risk stratification” by cardio lower the 30d risk any more beyond 0.2% by trop testing as done here? Only looking for trouble with false +’s if such pts sent for provocative testing. https://t.co/e2Jdzkz6mu
Application of High-Sensitivity Troponin in Suspected Myocardial Infarction | NEJM https://t.co/hSQRu7BXZP
RT @NatRevCardiol: Application of High-Sensitivity Troponin in Suspected Myocardial Infarction | NEJM https://t.co/O3nZwDMsxK
RT @RogueRad: For coronary CT in the emergency department the end might be nigh. Cardiology fellows - prepare to be very busy https://t.co/…
Application of High-Sensitivity Troponin in Suspected Myocardial Infarction | NEJM https://t.co/O3nZwDMsxK
Trend new: *Neumann JT* et al (N Engl J Med) __Application of High-Sensitivity Troponin in Suspected Myocardial Infarction.__ https://t.co/lWjZNFlAfC
Application of High-Sensitivity Troponin in Suspected Myocardial Infarction | NEJM. Great study with very realistic results https://t.co/RAL7C2lV0F
High-sensitivity troponin I concentrations of <6 ng/l and an absolute change of <4 ng/l after 45 to 120 minutes (early serial sampling) resulted in a negative predictive value of 99.5% for MI https://t.co/PO8uZVU8De
Application of High-Sensitivity Troponin in Suspected Myocardial Infarction. https://t.co/0AHOPGCytX
RT @SuneelUpadhye: Congrats @MacEmerg Prof Andrew Worster on getting a new publication in @NEJM on hs-troponin markers in ED AMI!! @ProfBEE…
RT @DrWillWatson: https://t.co/49U2h5bRAH COMPASS-MI: massive patient numbers used to define and validate these risk prediction systems for…
RT @RogueRad: For coronary CT in the emergency department the end might be nigh. Cardiology fellows - prepare to be very busy https://t.co/…
RT @cmorenosainz: Application of High-Sensitivity Troponin in Suspected Myocardial Infarction | NEJM "COMPASS-MI approach provides risk p…
Application of High-Sensitivity Troponin in Suspected Myocardial Infarction | NEJM https://t.co/jFViaUBw7Y
RT @troponinpapers: Application of High-Sensitivity Troponin in Suspected Myocardial Infarction. https://t.co/3uBQIBOWYs
Application of High-Sensitivity Troponin in Suspected Myocardial Infarction. https://t.co/3uBQIBOWYs
Application of High-Sensitivity Troponin in Suspected Myocardial Infarction | NEJM "COMPASS-MI approach provides risk probabilities for myocardial infarction using a wide range of cutoff combinations of high-sensitivity troponin I or T concentrations" https://t.co/Axsjc4jQO9
Application of High-Sensitivity Troponin in Suspected Myocardial Infarction | NEJM https://t.co/Mu5jEIyqqN