High-sensitivity troponin T use in non-chest pain presentations in the emergency department

Paul G. Buntine, Serena Sze, Emogene S. Aldridge

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Objective: To explore troponin testing yield in patients who present to the ED without chest pain. Methods: A retrospective medical record audit of all patients who presented to ED in November 2018 and had troponin measured. Results: A total of 1124 troponin assays were performed in 763 patients, 48.7% had no documented chest pain; 8.8% of these met high-risk criteria and 1.1% were diagnosed with acute coronary syndrome. Conclusions: Despite ED troponin testing in the absence of chest pain being common practice, it rarely assisted in a meaningful diagnosis. Consequences of testing may include delays to patient discharge and additional downstream testing.

Original languageEnglish
Pages (from-to)864-866
Number of pages3
JournalEMA - Emergency Medicine Australasia
Volume32
Issue number5
DOIs
Publication statusPublished - Oct 2020

Keywords

  • acute coronary syndrome
  • troponin
  • unnecessary testing

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