Details

Autor(en) / Beteiligte

• Tan, Wei Chieh Jack
• Inoue, Kenji
• AbdelWareth, Laila
• Giannitsis, Evangelos
• Kasim, Sazzli
• Shiozaki, Masayuki
• Aw, Tar Choon
• Cheng, Federick
• Dung, Ho Thuong
• Li, Yi-Heng
• Lim, Swee Han
• Lukito, Antonia Anna
• Than, Martin
• Chu, Fang-Yeh
• Devasia, Tom
• Lee, Chien-Chang
• Phrommintikul, Arintaya
• Youn, Jong-Chan
• Chew, Derek P.

Titel

The Asia-Pacific Society of Cardiology (APSC) Expert Committee Consensus Recommendations for Assessment of Suspected Acute Coronary Syndrome Using High-Sensitivity Cardiac Troponin T in the Emergency Department

Ist Teil von

• Circulation Journal, 2020/01/24, Vol.84(2), pp.136-143

Ort / Verlag

Japan: The Japanese Circulation Society

Erscheinungsjahr

2020

Quelle

EZB Electronic Journals Library

Beschreibungen/Notizen

• The Asia-Pacific Society of Cardiology (APSC) high-sensitivity troponin T (hs-TnT) consensus recommendations and rapid algorithm were developed to provide guidance for healthcare professionals in the Asia-Pacific region on assessing patients with suspected acute coronary syndrome (ACS) using a hs-TnT assay. Experts from Asia-Pacific convened in 2 meetings to develop evidence-based consensus recommendations and an algorithm for appropriate use of the hs-TnT assay. The Expert Committee defined a cardiac troponin assay as a high-sensitivity assay if the total imprecision is ≤10% at the 99th percentile of the upper reference limit and measurable concentrations below the 99th percentile are attainable with an assay at a concentration value above the assay’s limit of detection for at least 50% of healthy individuals. Recommendations for single-measurement rule-out/rule-in cutoff values, as well as for serial measurements, were also developed. The Expert Committee also adopted similar hs-TnT cutoff values for men and women, recommended serial hs-TnT measurements for special populations, and provided guidance on the use of point-of-care troponin T devices in individuals suspected of ACS. These recommendations should be used in conjunction with all available clinical evidence when making the diagnosis of ACS.