title: [2015 ESC guidelines: 1-hour rule-out and rule-in of acute myocardial infarction with high-sensitive troponin T].
abstract: High sensitivity cardiac troponins must be used in first intention. H0/H3 algorithm is recommended in the diagnostic strategy. In total, 75% of emergency patients can be early discharged with the H0/H1 algorithm. Interpretation of troponin values requires taking into account the clinical context and electrocardiogram. The algorithm H0/H1 cannot be used for early presenters in ED after onset of chest pain. Further validation studies are needed before widespread application of H0/H1 algorithm.
authors.affiliation: CHU de Toulouse, université Paul-Sabatier Toulouse III, Inserm UMR 1027 équipe 5, service des urgences, 31059 Toulouse, France. Electronic address: charpentier.s@chu-toulouse.fr.
authors.forename: Sandrine
authors.initials: S
authors.lastname: Charpentier
authors.affiliation: Assistance publique des Hôpitaux de Paris (AP-HP), groupe hospitalier Cochin-Broca-Hôtel-Dieu, hôpitaux universitaires Paris Centre (HUPC), service de diagnostic biologique automatisé, 75679 Paris cedex 14, France.
authors.forename: Camille
authors.initials: C
authors.lastname: Chenevier-Gobeaux
mesh_terms: D000465:Algorithms; D006801:Humans; D009203:Myocardial Infarction / Q000097:blood* / Q000175:diagnosis*; D012680:Sensitivity and Specificity; D013997:Time Factors; D020107:Troponin T / Q000097:blood*
chemical_list: D020107:Troponin T