Rapid algorithms for hs-cTn in ED: Boon or Bane?

KEY TAKEAWAYS

• Acute coronary syndrome (ACS) assessment in the emergency department has become increasingly complicated and new strategies for improved evaluation are warranted.
• The ESC 0/1-hour algorithm using high-sensitivity cardiac troponin (hs-cTn) has high diagnostic accuracy in patients with suspected ACS.
• The use of 0/1-hour hs-cTn protocol in the emergency department enables more rapid discharge of patients with suspected ACS with a proven safety record as it is also associated with a low risk of major adverse cardiac events.