Comparative Evaluation of 2-Hour Rapid Diagnostic Algorithms for Acute Myocardial Infarction Using High-Sensitivity Cardiac Troponin T  Andrew D. McRae,

Slides:



Advertisements
Similar presentations
for the TRAPID-AMI Investigators
Advertisements

Sex- and Gender-Related Risk Factor Burden in Patients With Premature Acute Coronary Syndrome Jin Choi, MSc, Stella Styliani Daskalopoulou, MD, MSc, PhD,
Diabetes Management in Long-Term Care: An Exploratory Study of the Current Practices and Processes to Managing Frail Elderly Persons with Type 2 Diabetes.
Association of Matrix Metalloproteinase 9 C-1562T Polymorphism with Genetic Susceptibility to Myocardial Infarction: A Meta-Analysis Zhang Juan, MD, Zhang.
Acute myocardial infarction as presentation of an infiltrative lung neoplasia Aitor Uribarri, MD, Adolfo Villa, MD, Gerard Loughlin, MD, Francisco Fernández-Avilés,
The “no reflow” phenomenon following acute myocardial infarction: Mechanisms and treatment options Sanjiv Kaul, MD Journal of Cardiology Volume 64, Issue.
Current and Future Status of Extracorporeal Cardiopulmonary Resuscitation for In- Hospital Cardiac Arrest  Rohit K. Singal, MD, MSc, Deepa Singal, MSc,
PLATELET REACTIVITY, P2Y12 RECEPTOR INHIBITOR SELECTION AND CLINICAL OUTCOMES IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION TREATED WITH PERCUTANEOUS.
Systemic Implementation Strategies to Improve Hypertension: The Kaiser Permanente Southern California Experience  John J. Sim, MD, Joel Handler, MD, Steven.
Fredrik Karlsson, MD, Angelo Modica, MD, Thomas Mooe, MD, PhD 
Aligning Health Care Policy With Evidence-Based Medicine: The Case for Funding Direct Oral Anticoagulants in Atrial Fibrillation  James A. Stone, MD,
Myocardial Fractional Flow Reserve Measurement Using Contrast Media as a First-Line Assessment of Coronary Lesions in Current Practice  Vincent Spagnoli,
Anticoagulation Regimens During Pregnancy in Patients With Mechanical Heart Valves: A Systematic Review and Meta-analysis  Zhe Xu, MD, PhD, Jin Fan, MD,
Acute Management and Outcomes of Patients with Diabetes Mellitus Presenting to Canadian Emergency Departments with Hypoglycemia  Brian H. Rowe, MD, MSc,
Tobias Reichlin, M. D. , Willibald Hochholzer, M. D
Mortality Rate in Type 2 Myocardial Infarction: Observations from an Unselected Hospital Cohort  Lotte Saaby, MD, Tina Svenstrup Poulsen, MD, PhD, Axel.
Emergency Physician Ultrasonography for Evaluating Patients at Risk for Ectopic Pregnancy: A Meta-Analysis  John C. Stein, MD, Ralph Wang, MD, Naomi Adler,
A Novel Approach to Cardiovascular Health By Optimizing Risk Management (ANCHOR): Behavioural Modification in Primary Care Effectively Reduces Global.
A Novel Approach to Cardiovascular Health By Optimizing Risk Management (ANCHOR): Behavioural Modification in Primary Care Effectively Reduces Global.
Values and Preferences of Physicians and Patients With Nonvalvular Atrial Fibrillation Who Receive Oral Anticoagulation Therapy for Stroke Prevention 
One-hour rule-in and rule-out of acute myocardial infarction using high-sensitivity cardiac troponin I  Cedric Jaeger, MD, Karin Wildi, MD, Raphael Twerenbold,
The Evolution of Myocardial Infarction: When the Truths We Hold To Be Self-Evident No Longer Have Evidence  David D. Waters, MD, Sripal Bangalore, MD,
Gregory S. Weingart, MD, Jestin N. Carlson, MD, Clifton W
Canadian Cardiovascular Society/Canadian Cardiovascular Critical Care Society/Canadian Association of Interventional Cardiology Position Statement on.
‘Chest Pain Typicality’ in Suspected Acute Coronary Syndromes and the Impact of Clinical Experience  Edward W. Carlton, MBChB, Martin Than, MBBS, Louise.
Proteinuria predicts postcardiotomy acute kidney injury in patients with preserved glomerular filtration rate  Szu-Yuan Li, MD, Chiao-Lin Chuang, MD,
Millie D. Long, Bruce E. Sands 
Comparative Effectiveness of Statin Therapy in Chronic Kidney Disease and Acute Myocardial Infarction: A Retrospective Cohort Study  David H. Smith, PhD,
Accuracy of a Diagnostic Algorithm to Diagnose Breakthrough Cancer Pain as Compared With Clinical Assessment  Katherine Webber, MBBS, MSc, PhD, Andrew.
Olivier Niel, MD, PhD, Charlotte Boussard, MSc, Paul Bastard, MSc 
Volume 386, Issue 10012, Pages (December 2015)
A Population-Based Analysis of Outcomes in Patients With a Primary Diagnosis of Hypertension in the Emergency Department  Sameer Masood, MD, Peter C.
Determinants of High-Sensitivity Troponin T Among Patients with a Noncardiac Cause of Chest Pain  Affan Irfan, MD, Raphael Twerenbold, MD, Miriam Reiter,
Francesca Mallamaci, MD, Giovanni Tripepi, PhD 
Advancing Acute Coronary Syndrome Assessment:
The Paucity of Data Addressing the Effects of Cardiac Rehabilitation on Mortality and Morbidity in Women  Gabriela Lima de Melo Ghisi, PhD, Gabriela Suéllen.
The State of Affairs for Cardiovascular Health Research in Indigenous Women in Canada: A Scoping Review  Stephanie A. Prince, PhD, Lisa A. McDonnell,
The Effect of a Statewide Smoking Ordinance on Acute Myocardial Infarction Rates  Paul Basel, BS, Becki Bucher Bartelson, PhD, Marie Claire Le Lait, MS,
One-hour Rule-in and Rule-out of Acute Myocardial Infarction Using High-sensitivity Cardiac Troponin I  Maria Rubini Gimenez, MD, Raphael Twerenbold,
Figure 1. Table for calculating the accuracy of a diagnostic test.
Matei Neagu, PhD, Daniel Coca, PhD, Albert C.M. Ong, DM 
Ludhmila A. Hajjar, MD, PhD, Juliano P. Almeida, MD, Julia T
Prognostic Value of Undetectable hs Troponin T in Suspected Acute Coronary Syndrome  Mehrshad Vafaie, MD, Anna Slagman, VD, MSc, Martin Möckel, MD, PhD,
Liska L. Havel, MD, Andrew J. Borgert, PhD, Kara J
Accuracy of administrative data versus clinical data to evaluate carotid endarterectomy and carotid stenting  Rodney P. Bensley, MD, Shunsuke Yoshida,
Health Care Use and Associated Time and Out of Pocket Expenditures for Patients With Cardiovascular Disease in a Publicly Funded Health Care System  Saba.
Treatment of hepatitis C
Use of Neutrophil Count in Early Diagnosis and Risk Stratification of AMI  Julia Meissner, MD, Affan Irfan, MD, Raphael Twerenbold, MD, Sandra Mueller,
Early rule-out and rule-in of myocardial infarction using sensitive cardiac Troponin I  Sophie Druey, Karin Wildi, Raphael Twerenbold, Cédric Jaeger, Tobias.
Yang Liu, MPH, Marie Fanelli Kuczmarski, PhD, Edgar R
Canadian Cardiovascular Society/Canadian Heart Rhythm Society Joint Position Statement on the Cardiovascular Screening of Competitive Athletes  Amer M.
Amy C. Arnold, PhD, MSCI, Satish R. Raj, MD, MSCI 
Recent Temporal Changes in Atherosclerotic Cardiovascular Diseases in Ontario: Clinical and Health Systems Impact  Jack V. Tu, MD, PhD, Anam M. Khan,
Jeffrey T. Yorio, MD, Yang Xie, PhD, Jingsheng Yan, PhD, David E
Yader Sandoval, MD, Stephen W. Smith, MD, Sara A
Mortality Rate in Type 2 Myocardial Infarction: Observations from an Unselected Hospital Cohort  Lotte Saaby, MD, Tina Svenstrup Poulsen, MD, PhD, Axel.
Yoan Lamarche, MD, Mahsa Elmi-Sarabi, MSc, Lillian Ding, MSc, James G
The Effect of Intravenous Vitamin C Infusion on Periprocedural Myocardial Injury for Patients Undergoing Elective Percutaneous Coronary Intervention 
CardioDiabetes: Core Competencies for Cardiovascular Clinicians in a Rapidly Evolving Era of Type 2 Diabetes Management  G. B. John Mancini, MD, Alice.
Devraj Sukul, MD, Shashank S. Sinha, MD, MSc, Andrew M
Acute coronary syndromes: diagnosis
A New Algorithm for the Diagnosis of Hypertension in Canada
Canadian Cardiovascular Society/Canadian Cardiovascular Critical Care Society/Canadian Association of Interventional Cardiology Position Statement on.
From Primary to Secondary Percutaneous Coronary Intervention: The Emerging Concept of Early Mechanical Reperfusion With Delayed Facilitated Stenting—When.
High-sensitive cardiac troponin T measurements in prediction of non-cardiac complications after major abdominal surgery†   P.G. Noordzij, O. van Geffen,
COMPARISON OF OUTCOMES FOLLOWING CORONARY ARTERY BYPASS GRAFT SURGERY AND PERCUTANEOUS CORONARY INTERVENTION IN ONTARIO AS REPORTED BY THE CARDIAC CARE.
135 The Association Between Patterns of Myocardial Involvement and Clinical Presentation in Patients With Cardiac Sarcoidosis As Assessed By FDG-PET 
Mobile Medicine: Digital Dynamo or Virtual Vaporware
Targeted Therapeutic Drug Monitoring for Direct Oral Anticoagulants: What Is Its Potential Place and Can It Limit Black Swan Events?  D. George Wyse,
Secular trends in cardiovascular disease mortality, incidence, and case fatality rates in adults in the United States  Ahmet Ergin, MD, PhD, MPH, Paul.
Presentation transcript:

Comparative Evaluation of 2-Hour Rapid Diagnostic Algorithms for Acute Myocardial Infarction Using High-Sensitivity Cardiac Troponin T  Andrew D. McRae, MD, PhD, Grant Innes, MD, Michelle Graham, MD, MSc, Eddy Lang, MD, James E. Andruchow, MD, MSc, Hong Yang, MSc, Yunqi Ji, PhD, Shabnam Vatanpour, PhD, Danielle A. Southern, MSc, Dongmei Wang, MSc, Isolde Seiden-Long, PhD, Lawrence DeKoning, PhD, Peter Kavsak, PhD  Canadian Journal of Cardiology  Volume 33, Issue 8, Pages 1006-1012 (August 2017) DOI: 10.1016/j.cjca.2017.04.010 Copyright © 2017 The Authors Terms and Conditions

Figure 1 Standards for Reporting Diagnostic Accuracy Studies Statement (STARD) patient inclusion flow diagram. ED, emergency department; eGFR, estimated glomerular filtration rate; hsTnT, high-sensitivity troponin T. Canadian Journal of Cardiology 2017 33, 1006-1012DOI: (10.1016/j.cjca.2017.04.010) Copyright © 2017 The Authors Terms and Conditions

Figure 2 (A) Reichlin 2-hour algorithm with test characteristics for 7-day acute myocardial infarction (AMI). (B) National Institute for Health and Care Excellence 2-hour hsTnT algorithm with test characteristics for 7-day AMI. 7d, 7-day; 0h, initial; 2h, 2-hour; NPV, negative predictive value; PPV, positive predictive value; TnT, troponin T. Canadian Journal of Cardiology 2017 33, 1006-1012DOI: (10.1016/j.cjca.2017.04.010) Copyright © 2017 The Authors Terms and Conditions