Hurtig og sikker udelukkelse af non-ST-eleveret akut myokardieinfarkt

Abdullahi Ahmed Mohamed; Tayfun Basaran; Gro Egholm; Jens Flensted Lassen; Jesper Revsholm; Jonas Angel Sjøland

Hurtig og sikker udelukkelse af non-ST-eleveret akut myokardieinfarkt

Abdullahi Ahmed Mohamed, Tayfun Basaran, Gro Egholm, Jens Flensted Lassen, Jesper Revsholm, Jonas Angel Sjøland

Afdeling for Hjertesygdomme

Abstract

Rapid identification of acute myocardial infarction (MI) is important for the early initiation of evidence-based therapy. In the European Society of Cardiology (ESC) 0/1h-algorithm (also called early-rule-out algorithm) high-sentivity cardiac troponin is measured at admission and one hour later. By using assay-specific cut-off levels patients are triaged to three different groups; "rule-out", "observation" or "rule-in" of acute MI. The ESC 0/1h-algorithm has high diagnostic accuracy and safety to rule out MI. This review summaries the current knowledge and practical use of the new early-rule-out algorithm.

Bidragets oversatte titel	Rapid and secure exclusion of myocardial infarctionwithout ST-segment elevation
Originalsprog	Dansk
Tidsskrift	Ugeskrift for Laeger
Vol/bind	183
Udgave nummer	49
ISSN	0041-5782
Status	Udgivet - 6 dec. 2021

Emneord

Algorithms
Biomarkers
Cardiovascular System
Humans
Myocardial Infarction/diagnosis
Prospective Studies
Triage
Troponin T

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Citationsformater

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AU - Mohamed, Abdullahi Ahmed

AU - Basaran, Tayfun

AU - Egholm, Gro

AU - Lassen, Jens Flensted

AU - Revsholm, Jesper

AU - Sjøland, Jonas Angel

PY - 2021/12/6

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N2 - Rapid identification of acute myocardial infarction (MI) is important for the early initiation of evidence-based therapy. In the European Society of Cardiology (ESC) 0/1h-algorithm (also called early-rule-out algorithm) high-sentivity cardiac troponin is measured at admission and one hour later. By using assay-specific cut-off levels patients are triaged to three different groups; "rule-out", "observation" or "rule-in" of acute MI. The ESC 0/1h-algorithm has high diagnostic accuracy and safety to rule out MI. This review summaries the current knowledge and practical use of the new early-rule-out algorithm.

AB - Rapid identification of acute myocardial infarction (MI) is important for the early initiation of evidence-based therapy. In the European Society of Cardiology (ESC) 0/1h-algorithm (also called early-rule-out algorithm) high-sentivity cardiac troponin is measured at admission and one hour later. By using assay-specific cut-off levels patients are triaged to three different groups; "rule-out", "observation" or "rule-in" of acute MI. The ESC 0/1h-algorithm has high diagnostic accuracy and safety to rule out MI. This review summaries the current knowledge and practical use of the new early-rule-out algorithm.

KW - Algorithms

KW - Biomarkers

KW - Cardiovascular System

KW - Humans

KW - Myocardial Infarction/diagnosis

KW - Prospective Studies

KW - Triage

KW - Troponin T

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M3 - Review

C2 - 34895440

SN - 0041-5782

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JO - Ugeskrift for Laeger

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ER -

Hurtig og sikker udelukkelse af non-ST-eleveret akut myokardieinfarkt

Abstract

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