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A Malaysian expert consensus on the use of high-sensitivity cardiac troponin in the emergency department


Citation

Raja Shariff, Raja Ezman and Kasim, Sazzli and Thambiah, Subashini C and Osman, Adi and Said, Asri and Jamaluddin, Farhi Ain and Mohd Salleh, Farina and Abd Karim, Sarah (2022) A Malaysian expert consensus on the use of high-sensitivity cardiac troponin in the emergency department. Journal of Asian Pacific Society of Cardiology, 1. art. no. 14. pp. 1-9. ISSN 2754-0650

Abstract

Recent guidelines have recommended using high sensitivity cardiac troponin (hs-cTn) assays to triage patients with suspected acute coronary syndrome. Despite this, less sensitive point-of-care testing is often the preferred choice in majority of hospitals. The aim of this evidence-based, expert consensus is to provide guidance for healthcare professionals in understanding the role of hs-cTn, specifically its level of sensitivity and specificity as well as its practical application in the emergency department setting, particularly in resource-limited centres in Malaysia. An expert panel with clinical and research expertise in the diagnosis and treatment of acute coronary syndrome was convened. Recommendations were based on a comprehensive review of the existing literature using MEDLINE and Embase databases, alongside individual clinical experience within the regional and international context. This expert consensus provides a structured approach to using hs-cTn in the emergency department and remains the only one to date produced by a group of Malaysian experts to help guide Malaysian clinicians dealing with acute chest pain on a daily basis.


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Additional Metadata

Item Type: Article
Divisions: Faculty of Medicine and Health Science
DOI Number: https://doi.org/10.15420/japsc.2021.19
Publisher: Radcliffe Medical Media
Keywords: High-sensitivity troponin; Troponin; Chest pain; Emergency department; Expert consensus
Depositing User: Ms. Nur Faseha Mohd Kadim
Date Deposited: 15 Jul 2024 02:35
Last Modified: 15 Jul 2024 02:35
Altmetrics: http://www.altmetric.com/details.php?domain=psasir.upm.edu.my&doi=10.15420/japsc.2021.19
URI: http://psasir.upm.edu.my/id/eprint/100175
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