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An individual troponin take a look at utilizing a really low Slash-level could possibly be adequate for ruling out an ACS in individuals presenting with prolonged upper body agony. For individuals with upper body pain of shorter duration, only one exam at time zero might be as well insensitive, plus a second examination one hour later on is proposed to improve the clinical sensitivity.
Reprinted, with permission, from Eggers KM, Oldgren J, Nordenskjold A, et al. Diagnostic worth of serial measurement of cardiac markers in patients with chest ache: confined price of incorporating myoglobin to troponin I for exclusion of myocardial infarction. Am Coronary heart J
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