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Bedside Troponin Test Cuts ED Decision Time by 47 Minutes, Large Study Finds

Results presented at the AHA Scientific Sessions reported comparable 30-day outcomes to usual lab testing.

Overview

  • Researchers reviewed 59,980 adult chest‑pain admissions across six New Zealand hospitals using either usual lab testing or point‑of‑care assays.
  • Patients assessed with the bedside test were discharged or admitted for heart attack care an average of 47 minutes sooner than those under usual care.
  • The rapid assays analyze a small blood sample on a cartridge at the bedside, delivering results in minutes compared with lab turnaround times that can reach two hours.
  • A 30‑day follow‑up found no differences in outcomes between the rapid‑test group and those who received standard laboratory testing.
  • The study, led by Christchurch Hospital with University of Edinburgh researchers and presented in New Orleans, drew praise from the British Heart Foundation for potential benefits to busy emergency departments.