In This Issue February 2018 Volume 3, Number 2 JAMA Cardiology Pages 93-184 Research Opinion Editorial High-Sensitivity Troponin T in Acute Coronary Syndrome 104 99 Menopausal Hormone Therapy for the Information is needed on how to use the first available high-sensitivity troponin (hsTnT) as- Primary Prevention of Chronic Conditions: say in the United States to identify patients at very low risk for adverse cardiac events. In Unfulfilled Expectations an observational study of 1355 patients with suspected acute coronary syndrome at 15 emer- NK Wenger 102 Understanding How to Improve gency departments between 2011 and 2015, Peacock and coauthors determined whether Quality and Value for Patients With Acute a negative high-sensitivity troponin assay could identify patients at less than 1% risk of a Myocardial Infarction 30-day adverse cardiac event. In 974 of 1264 patients (77.1%) with both 0-hour and 3-hour JH Wasfy and RW Yeh high-sensitivity troponin levels of 19 ng/L or less, the negative predictive value for 30-day Invited Commentary adverse cardiac events was 99.3%. In an Invited Commentary, Korley cautions that more 112 The Wait for High-Sensitivity Troponin data are needed on the safety of accelerated rule-out strategies. Is Over—Proceed Cautiously Invited Commentary 112 FK Korley 130 Complete
JAMA Cardiology – American Medical Association
Published: Feb 1, 2018
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