...or more accurately critical myocardial ischamia.
We're about to start routine use of these to assist with diagnosis of
chest pain sufferers.
Numerous papers flying around (editorial in this week's BMJ), but would
like to hear people's PRACTICAL experience of troponin use, assuming
some of you already are using them.
When to test?
Still do CK-MBs?
Allow home between serial tests?
On strength of results: who to admit, who to discharge, who to refer
urgently?
Related subject: Boss came back from scientific A&E meeting last week,
considering A&E staff doing exercice ECGs on dubious chest pains as an
immediate investigation. I beleive this is common place in USA (chest
pain assessment centres in Cincinnati etc.). Any thoughts?
Dr G Ray
Staff Grade
A&E
Sussex
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