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

Abstrakt

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 titelRapid and secure exclusion of myocardial infarctionwithout ST-segment elevation
OriginalsprogDansk
TidsskriftUgeskrift for Laeger
Vol/bind183
Udgave nummer49
ISSN0041-5782
StatusUdgivet - 6 dec. 2021

Emneord

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

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