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Emergencias. 2018 Oct;30(5):336-349.

Cardiac troponin measurement and interpretation in the diagnosis of acute myocardial infarction in the emergency department: a consensus statement.

[Article in English, Spanish; Abstract available in Spanish from the publisher]

Author information

1
Servicio de Urgencias. Hospital de la Santa Creu i Sant Pau. Sociedad Española de Medicina de Urgencias y Emergencias, España.
2
Servicio de Cardiología, Hospital Clínico Universitario. INCLIVA. Universidad de Valencia. CIBER CV. Sociedad Española de Cardiología, España.
3
Coordinadora BioquímicaImmunología, CATLAB. Viladecavalls, Barcelona. Sociedad Española de Medicina de Laboratorio, España.
4
Servicio de Cardiología, Hospital Universitario de Tarragona Joan XXIII, IISPV. Universidad Rovira i Virgili. Sociedad Española de Cardiología, España.
5
Área de Urgencias, Hospital Clínic, Barcelona, Grupo de investigación "Urgencias: Procesos y Patologías", IDIBAPS, Universitat de Barcelona. Sociedad Española de Medicina de Urgencias y Emergencias, España.
6
Servicio de Bioquímica. IIBHospital de la Santa Creu i Sant Pau. Universidad Autónoma de Barcelona. Sociedad Española de Medicina de Laboratorio, España.

Abstract

in English, Spanish

Diagnosing or ruling out acute myocardial infarction (AMI) is a challenge faced daily in emergency departments. AMI evaluation usually requires the measurement of the cardiac troponin (cTn) concentration. The use of this biomarker improves AMI diagnosis provided the concentrations are properly interpreted in the context of the patient's condition and according to standard recommendations. This consensus statement was drafted by specialists in emergency medicine, cardiology and laboratory medicine. The authors recommend measuring the cTn concentration if AMI is suspected in emergency patients, whether the newest high-sensitivity cTn assays or the so-called contemporary ones are used. Diagnostic algorithms based on up-to-date evidence are also presented. The consensus statement aims to serve as a clinical practice guideline for using cTn assays to enhance the efficient differential diagnosis of acute coronary syndromes in the emergency department.

KEYWORDS:

Métodos analíticos; Acute coronary syndrome; Cardiac troponin; Emergency health services; Immunoassays; Infarto de miocardio; Myocardial infarction; Servicio de urgencias; Síndrome coronario agudo; Troponina cardíaca

PMID:
30260119
[Indexed for MEDLINE]

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