Validation of presentation and 3 h high-sensitivity troponin to rule-in and rule-out acute myocardial infarction.
John William PickeringJaimi H GreensladeLouise CullenDylan FlawsWilliam ParsonagePeter GeorgeAndrew WorsterPeter A KavsakMartin P ThanPublished in: Heart (British Cardiac Society) (2016)
The ESC-rule-in algorithm has good PPV with hs-cTnI and reasonable with hs-cTnT and can rule-in over 50% of AMIs. However, the sensitivity of the 99th percentile to rule-out AMI is too low for clinical use.