hs-TnT Rapid Diagnosis of AMI- ESC 0h/3h Algorithm
20 June 2020
KEY TAKEAWAYS
- European Society of Cardiology (ESC) guidelines recommend the 0h/3 h algorithm for Acute Myocardial Infarction (AMI) if high-sensitivity Troponin is available
- Serial testing is obligatory if troponin has a rise and / or fall kinetic pattern
- For diagnosis of AMI, patients presenting with normal troponin, a change of 50% from Upper Reference Limit (URL) is recommended, a relative change of +/- 20% is recommended if there is an elevation of troponin at baseline
- Recommended thresholds and delta changes are assay specific