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I think the role of troponins is expanding from a test used for diagnosis of acute coronary syndorme (ACS) to one which also has prognostic implications. I feel that primary care physicians should have a clear understanding of the difference. There can be a case made to significantly reduce the number of GPs requests to exclude ACS- but this has to be discussed with acute care physicians ------ACB discussion List Information-------- This is an open discussion list for the academic and clinical community working in clinical biochemistry. Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content. ACB Web Site http://www.acb.org.uk Green Laboratories Work http://www.laboratorymedicine.nhs.uk List Archives http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List Instructions (How to leave etc.) http://www.jiscmail.ac.uk/