Frequency, compliance, and yield of cardiac testing after high-sensitivity troponin accelerated diagnostic protocol implementation.

ABSTRACT:

Background

Among persons presenting to the emergency department with suspected acute myocardial infarction (MI), cardiac troponin (cTn) testing is commonly used to detect acute myocardial injury. Accelerated diagnostic protocols (ADPs) guide clinicians to integrate cTn results with other clinical information to decide whether to order further diagnostic testing.

Objective

To determine the change in the rate and yield of stress test or coronary CT angiogram following cTn measurement in patients with chest pain presenting to the emergency department pre- and post-transition to a high-sensitivity (hs-cTn) assay in an updated ADP.

Methods

Using electronic health records, we examined visits for chest pain at five emergency departments affiliated with an integrated academic

SUBMITTER: Baugh CW 

PROVIDER: S-EPMC10616758 | biostudies-literature | 2023 Oct

REPOSITORIES: biostudies-literature