ACS, troponin and the elderly
SGEM#280 - Posted by admin - Jan 18, 2020
Reference: Troponin Testing and Coronary Syndrome in Geriatric Patients With Nonspecific Complaints: Are We Overtesting? AEM January 2020
"CLINICAL QUESTION: WHAT IS THE FREQUENCY OF ACS IN ELDERLY PATIENTS PRESENTING TO THE ED WITH NONSPECIFIC COMPLAINTS, AND WHAT IS THE UTILITY OF TROPONIN TESTING IN THIS POPULATION?
SGEM BOTTOM LINE: IN THIS RETROSPECTIVE STUDY OF ELDERLY PATIENTS PRESENTING TO THE EMERGENCY DEPARTMENT WITH NONSPECIFIC COMPLAINTS, THE DIAGNOSIS OF ACS WAS RARE, AND TROPONIN TESTING HAD LIMITED VALUE."