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.
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