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Figure 3. Proposed Algorithm for Troponin in Therapeutic
Decision Making
Elevated troponin
NO
YES
Pretest probability of ACS
(risk factors, symptoms,
ECG)
Pretest probability of ACS
(risk factors, symptoms,
ECG)
LOW
HIGH
ACS unlikely
LOW
Global risk
ACS unlikely
Search for other causes
LOW
HIGH
Early conservative
or invasive strategy
Early invasive
strategy
