Related Experiment Video
Updated: Feb 15, 2026
04:05
Author Spotlight: Unveiling Prognostic Indicators in Heart Failure - The Role of Phase Angle and Bioelectrical Impedance Analysis
Published on: June 30, 2023
2.9K
Troponin Testing in the Emergency Department: Real world experience
Mohammed Al-Maskari1, Mahmoud Al-Makhdami1, Hatim Al-Lawati1
1Department of Medicine, Sultan Qaboos University Hospital, Muscat, Oman.
Sultan Qaboos University Medical Journal
|January 27, 2018
Summary
Troponin testing in emergency departments is common, but a positive result often doesn't indicate acute coronary syndrome (ACS) and is linked to longer hospital stays. Guidelines are needed for appropriate troponin test use.
Area of Science:
- Cardiology
- Emergency Medicine
- Clinical Diagnostics
Background:
- Troponin testing is a key diagnostic tool in emergency departments for suspected acute coronary syndrome (ACS).
- Understanding troponin testing patterns and their impact on patient management is crucial for optimizing emergency care.
Purpose of the Study:
- To analyze troponin testing patterns in an Omani tertiary care hospital's emergency department.
- To evaluate the association between troponin test results and patient management, specifically length of hospital stay (LOS).
Main Methods:
- Retrospective analysis of adult patient records undergoing troponin testing in the emergency department.
- Exclusion of patients with ST-elevation myocardial infarction.
- Data collected from Sultan Qaboos University Hospital, Oman, during July 2015.
Main Results:
- Of 588 patients tested, 81.3% had negative troponin results.
- Positive troponin tests were associated with a significantly longer LOS (3 days vs. 1 day, P=0.001).
- Only 28.2% of patients with positive troponin results received a cardiac diagnosis; 41.8% lacked cardiac symptoms.
Conclusions:
- Positive troponin tests correlate with increased LOS but often lack a confirmed cardiac diagnosis.
- There is a need for clear guidelines to reserve troponin testing for suspected ACS cases to improve diagnostic accuracy and resource allocation.
Keywords:
Acute Coronary SyndromeCardiovascular AbnormalityEmergency DepartmentLength of StayOmanTroponinMore Related Videos
07:52Expired CO2 Measurement in Intubated or Spontaneously Breathing Patients from the Emergency Department
Published on: January 29, 2011
17.0K
09:52Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
18.0K
Related Concept Videos
01:27Emerging Adulthood
757
Jeffrey Arnett's concept of emerging adulthood offers a framework to understand the unique developmental stage between adolescence and full-fledged adulthood, generally from ages 18 to 25. This period is marked by extensive exploration and shifts in identity, relationships, and career choices, a process known in psychology as role experimentation. Emerging adulthood reflects the evolving cultural expectations surrounding adulthood and the dynamic process of personal transformation during...
757
03:20The Stanford Prison Experiment
24.8K
The famous and controversial Stanford Prison Experiment, conducted by social psychologist Philip Zimbardo and his colleagues at Stanford University, demonstrated the power of social roles, social norms, and scripts.
24.8K
01:30Introduction Cardiac Emergencies
383
Cardiac emergencies are critical situations involving the heart that require immediate medical intervention to prevent severe complications or death. These emergencies often arise from underlying heart conditions that impair the heart's ability to function correctly.Types of Cardiac EmergenciesThe most common types of cardiac emergencies include Acute Coronary Syndrome (ACS), myocardial infarction (MI), cardiac arrest, and heart failure.Acute Coronary Syndrome (ACS)Acute Coronary Syndrome (ACS)...
383
01:12What is an Experiment?
19.2K
An experiment is a planned activity carried out under controlled conditions. The purpose of an experiment is to investigate the relationship between two variables. When one variable causes change in another, we call the first variable the explanatory or independent variable. The affected variable is called the response or dependent variable. In a randomized experiment, the researcher manipulates values of the explanatory variable and measures the resulting changes in the response variable. The...
19.2K
01:19Thomson's e/m Experiment
7.0K
In a beam of charged particles created by a heated cathode, the particles move at different speeds. However, many applications need a beam with uniform particle speeds. An arrangement known as a velocity selector uses electric and magnetic fields to pick particles with a particular speed from the beam.
A particle with charge q, speed v, and mass m enters an area from the top, where the magnetic and electric fields are perpendicular both to the particle's motion and to one another. The magnetic...
A particle with charge q, speed v, and mass m enters an area from the top, where the magnetic and electric fields are perpendicular both to the particle's motion and to one another. The magnetic...
7.0K
01:13Controls in Experiments
18.5K
When conducting an experiment, it is crucial to have control to reduce bias and accurately measure the dependent variables. It also marks the results more reliable. Controls are elements in an experiment that have the same characteristics as the treatment groups but are not affected by the independent variable. By sorting these data into control and experimental conditions, the relationship between the dependent and independent variables can be drawn. A randomized experiment always includes a...
18.5K