Myocardial Infarction Can Be Safely Excluded by High-sensitivity Troponin I Testing 3 Hours After Emergency Department Presentation.
Frank William PeacockRobert ChristensonDeborah B DiercksChristian FrommGary F HeaddenChristopher J HoganErik B KulstadFrank LoVecchioRichard M NowakJon W SchrockAdam J SingerAlan B StorrowJoely StraseskiAlan H B WuDaniel P ZelinskiPublished in: Academic emergency medicine : official journal of the Society for Academic Emergency Medicine (2020)
Patients presenting >3 hours after the onset of suspected ACS symptoms, with at least two Beckman Coulter Access hsTnI < URL and at least one of which is below either the 10 or the 20% LoQ, had a 100% NPV for AMI. Two hsTnI values 1 to 3 hours apart with both < URL, but also >LoQ had inadequate sensitivity and NPV.