KMID : 1100620220090020140
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Clinical and Experimental Emergency Medicine 2022 Volume.9 No. 2 p.140 ~ p.145
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Finding acute coronary syndrome with serial troponin testing for rapid assessment of cardiac ischemic symptoms (FAST-TRAC): a study protocol
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Peacock W. Frank
Maisel Alan S. Mueller Christian Anker Stefan D. Apple Fred S. Christenson Robert H. Collinson Paul Daniels Lori B. Diercks Deborah B. Di Somma Salvatore
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Abstract
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Objective: To determine the utility of a highly sensitive troponin assay when utilized in the emergency department.
Methods: The FAST-TRAC study prospectively enrolled >1,500 emergency department patients with suspected acute coronary syndrome within 6 hours of symptom onset and 2 hours of emergency department presentation. It has several unique features that are not found in the majority of studies evaluating troponin. These include a very early presenting population in whom prospective data collection of risk score parameters and the physician¡¯s clinical impression of the probability of acute coronary syndrome before any troponin data were available. Furthermore, two gold standard diagnostic definitions were determined by a pair of cardiologists reviewing two separate data sets; one that included all local troponin testing results and a second that excluded troponin testing so that diagnosis was based solely on clinical grounds. By this method, a statistically valid head-to-head comparison of contemporary and high sensitivity troponin testing is obtainable. Finally, because of a significant delay in sample processing, a unique ability to define the molecular stability of various troponin assays is possible.
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KEYWORD
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Acute coronary syndrome, Troponin, Emergency medicine, Myocardial infarction, Coronary artery disease
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