ACC GUIDELINES Bundle

Troponins (ACCF Bundle)

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Algorithm Abbreviations ACS, acute coronary syndrome; AMI, acute myocardial infarction; BP, blood pressure; CABG, coronary artery bypass grafting; CAD, coronary artery disease; CHF, congestive heart failure; CKD, chronic kidney disease; CK-MB, creatine kinase-MB; CM, cardiomyopathy; CT, cardiothoracic; ECG, electrocardiogram; ESRD, end-stage renal disease; FDA, Food and Drug Administration; LV, left ventricular; MI, myocardial infarction; NPV, negative predictive value; NSTEMI, non–ST-elevation myocardial infarction; NT-proBNP, N-terminal pro-brain natriuretic peptide; PCI, percutaneous coronary intervention; PE, pulmonary embolism; PPV, positive predictive value; RV, right ventricular; SCD, sudden cardiac death; STEMI, STelevation myocardial infarction; ULN, upper limit of normal Source Newby LK, Jesse RL, Babb JD, et al. ACCF 2012 expert consensus document on practical clinical considerations in the interpretation of troponin elevations: a report of the American College of Cardiology Foundation Task Force on Clinical Expert Consensus Documents. J Am Coll Cardiol. 2012;60:2427-2463. Disclaimer This Expert Consensus Document attempts to define principles of practice that should produce high quality patient care. It should be viewed as the best attempt of the document cosponsors to inform and guide clinical practice in areas where rigorous evidence is not yet available or evidence to date is not widely applied to clinical practice. The ultimate judgment concerning the propriety of any course of conduct must be made by the clinician after consideration of each individual patient situation. Neither IGC, the medical associations, nor the authors endorse any product or service associated with the distributor of this clinical reference tool. TRO01132e 5740 Executive Drive  Suite 218 Baltimore, MD 21228  TEL: 410-869-3332  •  FAX: 410-744-2150  For additional copies: orders@GuidelineCentral.com Copyright © 2013 All rights reserved

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