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Papers of the Week

2019 Nov 07

BMJ Open



Evaluation of a 1-hour troponin algorithm for diagnosing myocardial infarction in high-risk patients admitted to a chest pain unit: the prospective FAST-MI cohort study.


Amann M, Gaiser F, Schwenk S I, Rahimi F, Schmitz R, Mashayekhi K, Ferenc M, Neumann F-J, Valina C M, Hochholzer W
BMJ Open. 2019 Nov 07; 9(11):e032124.
PMID: 31699742.


This study sought to evaluate the diagnostic performance of the 1-hour troponin algorithm for diagnosis of myocardial infarction (MI) without persistent ST-segment elevations (non-ST-segment MI (NSTEMI)) in a cohort with a high prevalence of MI. This algorithm recommend by current guidelines was previously developed in cohorts with a prevalence of MI of less than 20%.