A Malaysian expert consensus on the use of high-sensitivity cardiac troponin in the emergency department

• Main Authors: Raja Shariff, Raja Ezman, Kasim, Sazzli, Thambiah, Subashini C, Osman, Adi, Said, Asri, Jamaluddin, Farhi Ain, Mohd Salleh, Farina, Abd Karim, Sarah
• Format: Article
• Published: Radcliffe Medical Media 2022
• Online Access: http://psasir.upm.edu.my/id/eprint/100175/; https://www.japscjournal.com/articles/malaysian-expert-consensus-use-high-sensitivity-cardiac-troponin-emergency-department
• Institution: Universiti Putra Malaysia

Recent guidelines have recommended using high sensitivity cardiac troponin (hs-cTn) assays to triage patients with suspected acute coronary syndrome. Despite this, less sensitive point-of-care testing is often the preferred choice in majority of hospitals. The aim of this evidence-based, expert consensus is to provide guidance for healthcare professionals in understanding the role of hs-cTn, specifically its level of sensitivity and specificity as well as its practical application in the emergency department setting, particularly in resource-limited centres in Malaysia. An expert panel with clinical and research expertise in the diagnosis and treatment of acute coronary syndrome was convened. Recommendations were based on a comprehensive review of the existing literature using MEDLINE and Embase databases, alongside individual clinical experience within the regional and international context. This expert consensus provides a structured approach to using hs-cTn in the emergency department and remains the only one to date produced by a group of Malaysian experts to help guide Malaysian clinicians dealing with acute chest pain on a daily basis.