Learn to Love High Sensitivity Troponins | The EM & Acute Care Course

[@robbieb2011]

I went to the ER with mild chest pain but unusual shortness of breath while running. I'm a marathon runner, ran for 30 years so know my body well. My ECG came back borderline. My first HS Troponin I test was a 5. My 2nd test 2 hours later was a 6. They sent me home. I heard hard exercise can raise troponin as well

[@dsvalpo]

great communicator and info

[@zonelly1]

Amal Mattus lecture on legal traps in ACS on this very channel states ACS exists even with two negative high sensitivity trops

[@DrRussell]

I thought it was non-high sensitivity?

[@alexc.7868]

Unstable angina

[@downieduck2414]

high troponens - went up in hospital - normal ekg, nuclear stress test ok -- sent home after three days -- what should i do - i think i have them from exercise as i feel the same as when i went into hospital --- but it bothers me

[@DrRussell]

Is the absence of improvement in MI/PE outcomes adjusted for an unhealthier population? Older population? Thank you for the valuable information, it is going to shape our chest pain pathway at our sites.

[@JCResDoc94]

9:30 ignore real symptomatic chest pain for our new fangled bio marker (...sounds like a...mistake) -JC

[@JCResDoc94]

*21:00** all of science improves if you remove the cash incentive.* most of these tests, if they assed 10cents, theyd still make millions. you cant have thousands of millions of dollars, EVER. thats the problem we all need to reckon w. -JC

[@immadisarojini2775]

Super

[@fleishasims3588]

I have high troponin levels .

[@nursep18]

2 bad he can't articulate himself without foul language

[@frankmaggio4328]

Yes that caught me off guard as well. Made me chuckle. In his defense. Sometimes it just slips out when you're passionate about what you're conveying. Sometimes I choose to use foul language at the bedside to get my point across. Do not discount important information just because of use of foul language.