Low-level troponin elevations following a reduced troponin I cutoff: Increased resource utilization without improved outcomes

Becker, Barbara J.; Stahlman, Barbara A.; McLean, Nathaniel; Kochert, Erik

doi:10.1016/j.ajem.2018.02.001

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“…Therefore, if validated for specific settings in Vietnam, algorithmic protocols, such as the HEART Pathway, with adaptations to merge POC decision making, will prove cost-effective for AMI patients and justify countrywide implementation of hs-cTn in clinical laboratories in partnership with POC cTn in emergency rooms in Vietnam. However, a definitive consensus protocol, with consideration of community settings 29 and the potentially adverse impact of low-level cTn cutoffs on resource utilization, 43 needs to be established specifically for Vietnam.…”

Section: Discussionmentioning

confidence: 99%