Posts Tagged ‘rule-out MI’

March 30th, 2014

High-Sensitivity Troponin Test Could Identify Low-Risk Chest Pain Patients in the ED

Approximately 15-20 million people in Europe and the United States go to the emergency department every year with chest pain. Many can be discharged early if they are not having an acute coronary syndrome. A large, new, single-center observational study, presented at the American College of Cardiology meeting in Washington, DC and published simultaneously in the Journal […]

September 4th, 2013

New Dual Biomarker Test Could Speed Rule-Out of MI in the ED

A new study suggests that patients with suspected ACS and negative troponin and copeptin results at admission can safely be discharged if the clinical assessment is consistent with that decision.

April 13th, 2012

CT Angiography for Safe Discharge of Patients

(Reprinted with permission from NOW@NEJM, a blog for physicians about the New England Journal of Medicine) Chest pain is the second most common reason for Emergency Room visits in this country, and although only 10-15% of patients admitted with chest pain are ultimately diagnosed with an acute coronary syndrome, the majority of patients get admitted. So […]

December 27th, 2011

Possible Role for New Troponin Test to Diagnose MI

A new study from Germany provides evidence that a new high-sensitive troponin I (hsTnI) assay may improve and speed the early diagnosis of acute MI. In an article published in JAMA, Till Keller and colleagues report on 1818 patients with acute chest pain in whom numerous biomarker tests were conducted at admission and at 3 and […]