Search results for "Troponin"
Handling high-sensitivity troponin
The advent of high-sensitivity troponin testing in U.S. hospitals may be another example of how less can be more.
https://acphospitalist.acponline.org/archives/2024/06/26/handling-high-sensitivity-troponin.htm
26 Jun 2024
Elevated troponin I levels during sepsis may indicate risk for postsepsis CV complications
A U.S. retrospective study looked at rates of atherosclerotic disease, atrial fibrillation, and heart failure in the year after sepsis in patients with elevated troponin I levels and no previous diagnosis of cardiovascular (CV) disease.
https://acphospitalist.acponline.org/weekly/archives/2021/06/09/2.htm
9 Jun 2021
New guideline calls for restrictive transfusion protocols in critically ill patients
The American College of Chest Physicians' guideline on red blood cell transfusion recommends using a hemoglobin level threshold of 7 to 8 g/dL for most critically ill patients based on evidence of reduced adverse events.
https://acphospitalist.acponline.org/archives/2024/10/02/new-guideline-calls-for-restrictive-transfusion-protocols-in-critically-ill-patients.htm
2 Oct 2024
High-sensitivity troponin reduced the cascade of cardio interventions after chest pain
An analysis of ED patients found an increase in repeat troponin testing and EKGs, but reductions in CT scans, stress tests, cardiology evaluations, and hospitalizations associated with implementation of high-sensitivity cardiac troponin testing.
https://acphospitalist.acponline.org/weekly/archives/2021/06/23/4.htm
23 Jun 2021
Overtreatment from troponin testing
A reader responds to a recent article about high-sensitivity troponin with a personal story.
https://acphospitalist.acponline.org/archives/2024/07/03/letter-to-the-editor.htm
3 Jul 2024
3-hour troponin level may help rule out NSTEMI in ED patients triaged to observation
A previously proposed cutoff for 3-hour change in high-sensitivity cardiac troponin T of 7 ng/L missed 66.7% of ED patients with non-ST-segment elevation myocardial infarction (NSTEMI), but a cutoff of 15 ng/L combined with a 0/3-hour absolute change of less than 4 ng/L missed less than 1%.
https://acphospitalist.acponline.org/weekly/archives/2021/08/18/3.htm
18 Aug 2021
High-sensitivity cardiac troponin may be useful for early ruleout of MI
A Scottish study found that length of stay decreased and discharge rates increased when a high-sensitivity cardiac troponin I concentration below 5 ng/L at ED presentation was used to rule out myocardial infarction (MI), although the safety of this strategy could not be proven.
https://acphospitalist.acponline.org/weekly/archives/2021/03/31/3.htm
31 Mar 2021
September 2019
ACP Hospitalist provides hospital-based physicians with news and information about the practice of hospital medicine.
https://acphospitalist.acponline.org/archives/2019/09/
Troponin level may help predict mortality in patients admitted with afib
Troponin levels were associated with risk for death, and coronary angiography was associated with both higher troponin levels and lower mortality.
https://acphospitalist.acponline.org/weekly/archives/2020/04/01/6.htm
1 Apr 2020
February 2020
ACP Hospitalist provides hospital-based physicians with news and information about the practice of hospital medicine.
https://acphospitalist.acponline.org/archives/2020/02/