Chest pain workup in the presence of atrial fibrillation: impacts on troponin testing, myocardial infarction diagnoses, and long-term prognosis.
Daniel LanciniJaimi GreensladePaul MartinSandhir PrasadJohn AthertonWilliam ParsonageSally AldousMartin ThanLouise CullenPublished in: European heart journal. Acute cardiovascular care (2022)
The specificity of serial cTn testing for the diagnosis of T1MI in patients presenting to ED with chest pain is reduced in the presence of AF. Further studies are needed to establish whether optimised cTn thresholds for patients with AF can improve workup and outcomes.
Keyphrases
- atrial fibrillation
- end stage renal disease
- heart failure
- newly diagnosed
- emergency department
- ejection fraction
- chronic kidney disease
- prognostic factors
- peritoneal dialysis
- catheter ablation
- oral anticoagulants
- left atrial appendage
- adipose tissue
- type diabetes
- skeletal muscle
- acute coronary syndrome
- patient reported outcomes
- patient reported
- glycemic control
- case control