Which patients with chest pain actually need a troponin? Rick Body looks at how much we can trust the history, cardiovascular risk factors and our own clinical judgement before deciding to test.
Ep 299 – Which patients with chest pain need a troponin test? Read More
Iain and Simon look back at the St Emlyn’s blog from March 2023. This monthly podcast round-up covers artificial intelligence, single-test troponin rule-out strategies and an update on St Emlyn’s WILD.
Podcast – March 2023 Monthly Round Up Read More
A review of a paper from the European Heart Journal looking at the prehospital use of troponin in patients with low risk chest pain.
Can we rule out Acute Coronary Syndrome with a single prehospital troponin measurement? Read More
How do T-MACS, HEART, TIMI and EDACS compare with a troponin-only strategy for suspected cardiac chest pain? This review examines a multicentre study using one high-sensitivity troponin I assay, balancing diagnostic sensitivity and rule-out efficiency against missing data and limits to generalisability.
Risk scores for cardiac chest pain: the first head-to-head comparison! Read More
Could cardiac myosin binding protein C offer an alternative to troponin? This 2017 review examines promising diagnostic findings from APACE, while explaining why external validation, a practical assay and evidence of added clinical value were still needed.
Is cMyC the new troponin? Read More
Starting work in an emergency department can be daunting. This collection brings together St Emlyn’s introductory blogs and podcasts on core emergency medicine, designed to support new starters alongside local induction, workplace teaching and the learning that comes with those first shifts.
Induction to Emergency Medicine – St Emlyn’s Resources Read More
How should clinicians balance missed acute coronary syndrome against the harms of unnecessary investigation? In notes accompanying his UMECS 2016 talk, Rick Body explores the limits of symptoms and clinical judgement, acceptable risk and the importance of including patients in chest-pain decisions.
Getting your chest pain evaluation right: #UMECS16 Read More
Could a single high-sensitivity troponin I result help rule out acute coronary syndrome at presentation? This 2015 appraisal examines a diagnostic cohort study, distinguishing negative predictive value from sensitivity and asking how the findings fit with ECG interpretation, clinical risk and different patient populations.
JC: High sensitivity Troponin I on presentation. Is it enough to rule out ACS? St.Emlyn’s Read More
