• Emerg Med Australas · Oct 2020

    High-sensitivity troponin T use in non-chest pain presentations in the emergency department.

    • Paul G Buntine, Serena Sze, and Emogene S Aldridge.
    • Eastern Health Clinical School, Monash University, Melbourne, Victoria, Australia.
    • Emerg Med Australas. 2020 Oct 1; 32 (5): 864-866.

    ObjectiveTo explore troponin testing yield in patients who present to the ED without chest pain.MethodsA retrospective medical record audit of all patients who presented to ED in November 2018 and had troponin measured.ResultsA total of 1124 troponin assays were performed in 763 patients, 48.7% had no documented chest pain; 8.8% of these met high-risk criteria and 1.1% were diagnosed with acute coronary syndrome.ConclusionsDespite ED troponin testing in the absence of chest pain being common practice, it rarely assisted in a meaningful diagnosis. Consequences of testing may include delays to patient discharge and additional downstream testing.© 2020 Australasian College for Emergency Medicine.

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