Evidence map›Paper›PMID 38472975›Full record

ReviewDiagnostics (Basel, Switzerland)2024

Clinical Interpretation of Serum Troponin in the Era of High-Sensitivity Testing.

Marah Maayah, Scott Grubman, Stephanie Allen, Zachary Ye, Dae Yong Park, Evangelia Vemmou, Ilhan Gokhan, Wendy W Sun, Stephen Possick, Jennifer M Kwan and 2 more

Open access · goldAbstract readReview
In one paragraph

Review in Diagnostics (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
11.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 28 citations in OpenAlex.

  1. Article
  2. SGLT2 Inhibitors' Effects on Biomarkers of Myocardial Injury: A Systematic Review.Journal of cardiovascular and thoracic research · 2026
    Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Review
  16. High-Sensitivity Troponin: Finding a Meaningful Delta.Journal of cardiovascular development and disease · 2024
    Review
  17. Clinical Biochemistry of Serum Troponin.Diagnostics (Basel, Switzerland) · 2024
    Review
  18. Article
  19. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 1 country.

Marah MaayahYale School of Medicine, Yale University, New Haven, CT 06520, USA.ORCID 0000-0002-0693-0765
Scott GrubmanYale School of Medicine, Yale University, New Haven, CT 06520, USA.
Stephanie AllenDepartment of Internal Medicine, Yale School of Medicine, Yale University, New Haven, CT 06520, USA.
Zachary YeDepartment of Internal Medicine, Temple University Medical Center, Philadelphia, PA 19140, USA.ORCID 0000-0002-5168-4938
Dae Yong ParkDepartment of Internal Medicine, Cook County Hospital, Chicago, IL 60612, USA.
Evangelia VemmouDepartment of Internal Medicine, Yale School of Medicine, Yale University, New Haven, CT 06520, USA.
Ilhan GokhanYale School of Medicine, Yale University, New Haven, CT 06520, USA.
Wendy W SunDepartment of Emergency Medicine, Yale School of Medicine, Yale University, New Haven, CT 06520, USA.ORCID 0000-0002-3726-1429
Stephen PossickSection of Cardiovascular Medicine, Yale School of Medicine, Yale University, New Haven, CT 06520, USA.
Jennifer M KwanSection of Cardiovascular Medicine, Yale School of Medicine, Yale University, New Haven, CT 06520, USA.
Parul U GandhiSection of Cardiovascular Medicine, Yale School of Medicine, Yale University, New Haven, CT 06520, USA.
Jiun-Ruey HuSection of Cardiovascular Medicine, Yale School of Medicine, Yale University, New Haven, CT 06520, USA.ORCID 0000-0003-1390-508X
Yale University · USJohn H. Stroger, Jr. Hospital of Cook County · USUniversity Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiac troponin (Tn) plays a central role in the evaluation of patients with angina presenting with acute coronary syndrome. The advent of high-sensitivity assays has improved the analytic sensitivity and precision of serum Tn measurement, but this advancement has come at the cost of poorer specificity. The role of clinical judgment is of heightened importance because, more so than ever, the interpretation of serum Tn elevation hinges on the careful integration of findings from electrocardiographic, echocardiographic, physical exam, interview, and other imaging and laboratory data to formulate a weighted differential diagnosis. A thorough understanding of the epidemiology, mechanisms, and prognostic implications of Tn elevations in each cardiac and non-cardiac etiology allows the clinician to better distinguish between presentations of myocardial ischemia and myocardial injury-an important discernment to make, as the treatment of acute coronary syndrome is vastly different from the workup and management of myocardial injury and should be directed at the underlying cause.

Indexed as

myocardial infarctionmyocardial injurymyocardial ischemiasupply–demand mismatchtroponin

Identifiers

PMID38472975
PMCPMC10930800
OpenAlexW4392154747

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.