1 hour rule out for AMI in chest pain

In this large multi center prospective study of patients presenting to the ED with acute chest pain, the use of high sensitivity cardiac troponin T on arrival and at 1 hour resulted in a sensitivity of 100% for “rule outs” and specificity of 97% for “rule ins”. Based on the algorithm (based on troponin values and delta from arrival to 1 hour), 77% of patients could be ruled in or ruled out in 1 hour. This easy to use algorithm can quickly rule in or out over 3/4 of ED patients with acute chest pain (abstract)

Danielle Scheurer

Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.

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