High-Sensitivity Troponin in Clinical Practice

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Presentation transcript:

High-Sensitivity Troponin in Clinical Practice

Implementation Stages

Step 1

How Are Troponin Assays Classified as High Sensitivity?

Understanding the Results

Universal Definition of MI

Myocardial Injury With/Without Ischemia

Always Evaluate the Clinical Picture

Positive Predictive Value

Differential Diagnosis

Sex-Based Differences in hs-cTn

When It Isn't Ischemic Heart Disease…

Mayo Clinic Use of hs-cTn

UCSD Use of hs-cTn

Massachusetts General Hospital ED Algorithm

Redefining the Diagnosis Process

Time of Symptom Onset

Algorithm for Transition to hs-cTn

Take-Home Tips for Implementation of hs-cTn

Gray Zone

Pros and Challenges

Abbreviations

Abbreviations (cont)