High-sensitivity cardiac troponin T predicted patients with chest pain at minimal risk

WASHINGTON — Patients presenting to the ED with an undetectable level of high-sensitivity cardiac troponin T and whose electrocardiogram shows no sign of ischemia have a minimal risk for MI or death within 30 days and can be safely discharged, according to research presented here.In a study of 14,636 patients (mean age, 47 years; 53% women) who reported to a Swedish ED with chest pain from 2010 to 2012, researchers examined patients’ blood levels of high-sensitivity cardiac troponin T. The goal of the study was to evaluate if an undetectable high-sensitivity cardiac troponin T level (<5 ng/L) and an ECG without signs of ischemia can rule out MI in the ED, researcher Martin Holzmann, MD, PhD, said in a press conference at the American College of Cardiology Scientific Sessions.

Follow us