Use of high-sensitivity cardiac troponin in the emergency department: A policy resource and education paper (PREP) from the American College of Emergency Physicians

Susan B Promes; Seth Gemme; Lauren Westafer; Stephen J Wolf; Deborah B Diercks

doi:10.1002/emp2.12999

Use of high-sensitivity cardiac troponin in the emergency department: A policy resource and education paper (PREP) from the American College of Emergency Physicians

J Am Coll Emerg Physicians Open. 2023 Jul 6;4(4):e12999. doi: 10.1002/emp2.12999. eCollection 2023 Aug.

Authors

Susan B Promes¹, Seth Gemme², Lauren Westafer², Stephen J Wolf³, Deborah B Diercks⁴

Affiliations

¹ Department of Emergency Medicine Penn State College of Medicine Hershey Pennsylvania USA.
² Department of Emergency Medicine UMass Chan Medical School-Baystate Springfield Massachusetts USA.
³ Department of Emergency Medicine Denver Health Medical Center Denver Colorado USA.
⁴ Department of Emergency Medicine University of Texas Southwestern Medical Center Dallas Texas USA.

Abstract

This Policy Resource and Education Paper (PREP) from the American College of Emergency Physicians (ACEP) discusses the use of high-sensitivity cardiac troponin (hs-cTn) in the emergency department setting. This brief review discusses types of hs-cTn assays as well as the interpretation of hs-cTn in the setting of various clinical factors such as renal dysfunction, sex, and the important distinction between myocardial injury versus myocardial infarction. In addition, the PREP provides one possible example of an algorithm for the use of a hs-cTn assay in patients in whom the treating clinician is concerned about potential acute coronary syndrome.