Letters “Troponin-negative chest pain”

Misunderstanding the value of troponin testing

BMJ 2013; 347 doi: https://doi.org/10.1136/bmj.f5743 (Published 25 September 2013) Cite this as: BMJ 2013;347:f5743
  1. Michael D Sosin, consultant cardiologist1
  1. 1Nottingham University Hospitals NHS Trust, Trent Cardiac Centre, City Hospital, Nottingham NG5 1PB, UK
  1. mike_sosin{at}doctors.org.uk

I agree with Ali that the diagnostic label of “troponin negative chest pain” is unhelpful.1 However, he repeats some common misconceptions that require correction.

Firstly, the article implies that most patients attending hospital with chest pain have an acute coronary syndrome. This is not the case—most patients …

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