100 QUESTIONS IN CARDIOLOGY

(Michael S) #1

Conclusion


Troponin T has a vital role in the triage of patients presenting

with chest pain. A positive test identifies high-risk individuals

who may benefit from aggressive anti-platelet therapy or early

intervention, whilst negative troponin T tests 12 or more hours

after the onset of symptoms identify those at low risk who can be

considered for early hospital discharge.

RReeffeerreenncceess
1 Hamm CW, Goldmann BU, Heeschen C et al. Emergency room triage of
patients with acute chest pain by means of rapid testing for cardiac
troponin T or troponin I. N Engl J Med1997; 333377 : 1648–53.
2 Lindahl B, Venge P, Wallentin L, for the FRISC Study Group. Relation
between troponin T and the risk of subsequent cardiac events in
unstable coronary artery disease. Circulation 1996; 9933 : 1651–57.
3 Ohman EM, Armstrong PW, Christensen RH et al. for the GUSTO IIa
Investigators. Cardiac troponin T levels for risk stratification in acute
myocardial ischemia. N Engl J Med1996; 333355 : 1333–41.
4 Lindahl B, Andren B, Ohlsson J et al. Risk stratification in unstable
coronary artery disease. Additive value of troponin T determinations
and pre-discharge exercise tests. Eur Heart J1997; 1188 : 762–70.

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