Three normal high sensitivity troponins over 4 hours with a “normal ECG”
Written by Willy Frick A 46 year old man with a history of type 2 diabetes mellitus presented to urgent care with complaint of “chest…
85 year old with chest pain, STEMI negative, then normal troponin but with relatively large delta: discharge?
Written by Jesse McLaren, with comments from Smith An 85 year old with a history of CAD presented with 3 hours of chest pain that feels…
All data suggest unstable angina, but the angiogram is normal. Ken Grauer on stress testing.
A 50-something woman who has a gastric ulcer was experiencing epigastric pain for which she decided to come to the ED. Then,…
Chest pain, shortness of breath, T wave inversion, and rising troponin in a young healthy runner.
Written by Pendell Meyers, edits by Smith and Grauer A man in his late 20s with history of asthma presented to the ED with a transient episode…
Unstable Angina Still Exists in Era of high sensitivity troponin, with a short lesson on troponin interpretation
42 y.o. male with no past medical history presented for chest pain of onset 2 weeks prior. It is not constant, but lasts only a couple…
Which ACS had more myocardial damage? The one that meets STEMI criteria, or the one with the ‘normal’ ECG?
This case comes from Jesse McLaren, with some contribution by Smith. Dr McLaren (@https://twitter.com/ECGcases), is an Emergency…
Abbott High Sensitivity Troponin Algorithm at Hennepin Healthcare
To see the full lecture with the data, click here Algorithm Click on images to enlarge them!! Rule Out MI Rule In MI Important slide on Risk…
Implementation of Abbott Architect High Sensitivity Troponin I in the ED
This was recorded by Stephen W. Smith to help clinicians implement the Abbott Architect High Sensitivity Troponin Assay. This describes the…
Cardiac arrest with anterior-inferior STEMI: Guess the value of the initial ED high sensitivity Abbott troponin I
A ~40 year old woman started having chest discomfort. She called 911 after an uncertain amount of time. EMS arrived and recorded…
New Lecture on High Sensitivity Troponin Protocols in the ED
It is my task to educate our residents on chest pain, ECGs, and troponin. So for years I have been lecturing on the topic of chest pain…