Whilst cardiac troponin measurements are of diagnostic and prognostic importance in individuals with acute coronary syndromes, the wide selection of problems linked to raised cardiac troponin values has the likely for leading to diagnostic confusion and generating medical dilemmas in patient management. By way of example, should really all renal failure individuals with elevated cardiac troponin concentrations be referred for coronary angiography, or need to people having a elevated troponin just after an episode of rapid atrial fibrillation or supraventricular tachycardia be diagnosed as myocardial infarction and bear hazard stratification investigations and become enrolled on a cardiac rehabilitation programme?
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The combination of ECG and troponins had a superior damaging predictive price in diagnosing significant blunt cardiac injury, and, while in the absence of other persuasive motives for hospitalization, these sufferers might be securely bet200 discharged. [19]
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ACC/AHA tips for your management of people with unstable angina and non ST elevation myocardial infarction: government summary and recommendations.