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Is the troponin testing rather underestimated in clinical practice? Evidence from emergency medical admissions

      The novel findings reported by Conway R and colleagues in the current issue of European Journal of Internal Medicine, entitled “Is there excessive troponin testing in clinical practice? Evidence from emergency medical admissions” [
      • Conway R.
      • Byrne D.
      • Cournane S.
      • O'Riordan D.
      • Coveney S.
      • Silke B.
      Is there excessive troponin testing in clinical practice? Evidence from emergency medical admissions.
      ], introduced to us an opportunity to review the importance of troponin testing in emergency medical care. Several studies have indicated the potential adverse outcomes such as unnecessarily prolonged hospitalization and invasive procedures caused by inappropriate troponin testing [
      • Wilson G.
      • Barkley K.
      • Slicker K.
      • Kowal R.
      • Pope B.
      • Michel J.
      Overuse of Troponin? A comprehensive evaluation of testing in a large hospital system.
      ,
      • Talebi S.
      • Ferra R.M.
      • Tedla S.
      • DeRobertis A.
      • Garofoli A.C.
      • Visco F.
      • et al.
      Hazards with ordering troponin in patients with low pretest probability of acute coronary syndrome.
      ,
      • Makam A.N.
      • Nguyen O.K.
      Use of cardiac biomarker testing in the emergency department.
      ]. Based upon these studies, the frequency of troponin tests seems to be in need of being reduced. However, the results of the present study were inconsistent with the view of these preceding studies.
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      References

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        Is there excessive troponin testing in clinical practice? Evidence from emergency medical admissions.
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        Hazards with ordering troponin in patients with low pretest probability of acute coronary syndrome.
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        Use of cardiac biomarker testing in the emergency department.
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