Core IM | Internal Medicine Podcast

#31: Troponins: 5 Pearls Segment

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Jan 2, 2019
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ADVICE

Stop Ordering CKMB

  • Don't order CKMB alongside troponin.
  • Troponin is more sensitive and specific for myocardial injury.
INSIGHT

Troponin Isn't Everything

  • Consider the patient's history and risk factors alongside troponin results.
  • A detectable troponin, even if below the positive threshold, can still indicate a problem.
ADVICE

Risk Stratification Tools

  • Use risk stratification tools like TIMI, HEART, or GRACE for suspected ACS.
  • Each tool has its strengths, so choose the one that fits the clinical scenario.
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