Boone Stephen, Peacock W Frank
Department of Emergency Medicine, Baylor College of Medicine, 1 Baylor Plaza, Houston, TX 77030, USA.
Rev Cardiovasc Med. 2022 Apr 27;23(5):157. doi: 10.31083/j.rcm2305157. eCollection 2022 May.
This review focuses on the strengths and limitations of conventional and high-sensitivity troponin in the evaluation of patients with suspected acute coronary syndromes. High-sensitivity troponin (hsTn) assays represent a significant innovation over prior generation troponin assays. Owing to superior analytical precision, hsTn permits more rapid "rule-in" and "rule-out" of myocardial infarction. Furthermore, hsTn assays, in properly implemented clinical pathways, permit a reduction in the portion of patients requiring extended observation and testing.
本综述重点关注传统肌钙蛋白和高敏肌钙蛋白在疑似急性冠脉综合征患者评估中的优势与局限性。高敏肌钙蛋白（hsTn）检测相较于前代肌钙蛋白检测是一项重大创新。由于具有卓越的分析精密度，hsTn能更快速地“诊断”和“排除”心肌梗死。此外，在合理实施的临床路径中，hsTn检测可减少需要延长观察和检测的患者比例。
