@docib Excellent thread. Minor caveat that rise and/or fall in troponin alone is not MI- this is acute myocardial injury unless there are symptoms or signs of myocardial ischaemia or RWMA. Important as occurs in >10% of ED patients- likely higher wit…
@adamlsharp @CircAHA @reverendofdoubt @emlitofnote @jmugele @RFRedberg Think you are right - in US ED cohort studies prevalence is much lower due to higher rates of testing. European cohort testing is quite selective as a rule so prevalence of ACS usual…
@marcus_lyall @Microbedoc2 @chapdoc1 Predictive value of troponin (like all tests) is dependent on the population tested. Measure troponin in all with acute illness and PPV for myocardial infarction is low https://t.co/ru5VQCuaF7 Manage the primary co…
RT @chapdoc1: Important differences in troponin testing between USA and Europe; previously explored by @anoopshah17 and @yadersandoval ht…