Publication at Faculty of Medicine in Hradec Králové |
2018
Abstract
Differential diagnosis of chest pain represents an important issue in acute care. The introduction into the clinical practice ofhigh-sensitive methods of troponin assessment has provided a shortening of the diagnostic process, especially with the use of1-hour protocols, where the change in the troponin level (two values in 60 minutes) allows identification of patients with acutecoronary syndromes with high specificity and sensitivity.
This protocol can significantly improve the diagnostic process, whichremains to be based on analysis of patient history data, physical examination and careful evaluation of ECG.