High-sensitivity cardiac troponin (hs-cTn) assays facilitate the ruling-out of myocardial infarction (MI) but identify a high number of patients with elevated troponin levels but without MI. Consequently, the term myocardial injury was included in the latest universal definition of MI. In the High-STEACS trial, use of a hs-cTnI assay was safe but had no prognostic benefit.
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Keller, T., Hamm, C.W. High-sensitivity cardiac troponin assays: finally ready for prime time?. Nat Rev Cardiol 16, 135–136 (2019). https://doi.org/10.1038/s41569-018-0122-9
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DOI: https://doi.org/10.1038/s41569-018-0122-9