Timely, Convenient and Sensitive

Is point of care troponin testing the future?

• 3 hours

Patient arrivesin the ED: T0 Blood taken

30-45 min

ECG10 min

Triage15 min

3h test3h 30 - 3h 45

Result 12h 30

Result 2:5h 30 - 5h 45

4h

3 h t ro po n i n : T i me l i n e

Proportion discharged with LoD strategy

• 17% (Body, Clin Chem)• 37% (Body, Acad EM)• 19% (Carlton, JAMA Cardiol)

• And NICE recommends only discharge those with TIMI 0-2 – actual admissions avoided will be few