Charpentier Sandrine, Chenevier-Gobeaux Camille
CHU de Toulouse, université Paul-Sabatier Toulouse III, Inserm UMR 1027 équipe 5, service des urgences, 31059 Toulouse, France.
Assistance publique des Hôpitaux de Paris (AP-HP), groupe hospitalier Cochin-Broca-Hôtel-Dieu, hôpitaux universitaires Paris Centre (HUPC), service de diagnostic biologique automatisé, 75679 Paris cedex 14, France.
Presse Med. 2016 Oct;45(10):859-864. doi: 10.1016/j.lpm.2016.05.023. Epub 2016 Jun 30.
High sensitivity cardiac troponins must be used in first intention. H0/H3 algorithm is recommended in the diagnostic strategy. In total, 75% of emergency patients can be early discharged with the H0/H1 algorithm. Interpretation of troponin values requires taking into account the clinical context and electrocardiogram. The algorithm H0/H1 cannot be used for early presenters in ED after onset of chest pain. Further validation studies are needed before widespread application of H0/H1 algorithm.
