Our Cardiologists had predicted zero serum Troponin requests from GPs, but
that turned out to be slightly less than 100% accurate. I agree with your
comments.
We do phone all of our "abnormal" GPs' troponin results (ie above an agreed
threshold), of which there are in fact very few in practice, less than
1/day.
Best wishes,
Les
> From: "Corns, Cathryn" <[log in to unmask]>
> Reply-To: "Corns, Cathryn" <[log in to unmask]>
> Date: Mon, 8 Dec 2003 17:20:29 -0000
> To: [log in to unmask]
> Subject: Re: Troponins from Primary Care
>
> We do a few trops for GPs. Usually episodes of chest pain of low
> cardiac risk but normal Trop 2-3 days after event rules out MI for
> patient's and GP's peace of mind. Very occasionally we see high ones in
> which case we phone GP who arranges admission with medical team.
>
> I feel that this is a reasonably useful service, the numbers not being
> large enough for significant financial impact. Requests are often more
> appropriate than some of the ones from A&E collected within <1 of
> symptoms!
>
> Cathryn Corns
> Head of Biochemistry
> Southend Hospital
> 01702 435555 ext 4058
>
>
> -----Original Message-----
> From: Williams David G (RLN) City Hospitals Sunderland - Clinical
> Scientist [mailto:[log in to unmask]]
> Sent: 08 December 2003 11:03
> To: [log in to unmask]
> Subject: Troponins from Primary Care
>
>
> Picking up on a recent comment about requests for Troponins from Primary
> Care being exceptional, what is the experience of other users?
>
> Should a GP be able to use this test, or should the patient be referred
> to the local cardiologists/CCU?
>
> Dr David G Williams
>
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