Diagnostic Accuracy of High-Sensitivity Cardiac Troponin T at Presentation Combined With History and ECG for Ruling Out Major Adverse Cardiac Events
作者: Arash MokhtariBertil LindahlJ. Gustav SmithMartin J. HolzmannArdavan KhoshnoodUlf Ekelund
作者单位: 1Department of Internal and Emergency Medicine, Skåne University Hospital, Lund, Sweden
2Department of Cardiology, Skåne University Hospital, Lund, Sweden
3Department of Clinical Sciences, Lund University, Lund, Sweden
4Department of Medical Sciences and Uppsala Clinical Research Center, Uppsala University, Uppsala, Sweden
5Department of Emergency Medicine, Karolinska University Hospital, Huddinge, and Department of Internal Medicine, Karolinska Institutet, Stockholm, Sweden
刊名: Annals of Emergency Medicine, 2016
来源数据库: Elsevier Journal
DOI: 10.1016/j.annemergmed.2016.06.008
英文摘要: Study objective(#br)We evaluate the diagnostic accuracy of a high-sensitivity cardiac troponin T (hs-cTnT) level less than 5 ng/L or less than or equal to 14 ng/L at emergency department (ED) presentation, combined with the emergency physician’s assessment of history and ECG, for ruling out major adverse cardiac events within 30 days.(#br)Methods(#br)This prospective observational study enrolled consecutive ED chest pain patients. Emergency physicians’ assessments of patient history and ECG were collected. The primary outcome was 30-day major adverse cardiac events, defined as acute myocardial infarction, unstable angina, cardiogenic shock, ventricular arrhythmia, atrioventricular block, cardiac arrest, or death of cardiac or unknown cause.(#br)Results(#br)A total of 1,138 patients were...
全文获取路径: Elsevier  (合作)
影响因子:4.285 (2012)

  • ECG Electro-Cardiograph