Evidence map›Paper›PMID 41776037›Full record

ArticleNPJ cardiovascular health2025

A rapid 0/1 h algorithm for suspected non-ST-segment elevation myocardial infarction using high-sensitivity cardiac troponin I.

Junwen Chen, Hui Yuan, Qingmao Geng, Xinyu Li, Jiaoyan Song, Ke Shang, Bo Wang, Shujuan Zheng, Xiaonan He

Abstract read
In one paragraph

Article in NPJ cardiovascular health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

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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

1 citing paper in PubMed.

  1. 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

9 authors.

Junwen ChenDepartment of Emergency and Critical Care Center, Beijing AnZhen Hospital, Capital Medical University, Beijing, China.
Hui YuanDepartment of Clinical Laboratory, Beijing AnZhen Hospital, Capital Medical University, Beijing, China.
Qingmao GengBeckman Coulter Commercial Enterprise (China) Co. LTD., Shanghai, China.
Xinyu LiBeckman Coulter Commercial Enterprise (China) Co. LTD., Shanghai, China.
Jiaoyan SongCapital Medical University, Beijing, China.
Ke ShangCapital Medical University, Beijing, China.
Bo WangDepartment of Emergency, Beijing Changping District Hospital, Beijing, China.
Shujuan ZhengDepartment of Cardiology, Erdao District People's Hospital of Changchun City, Changchun, Jilin, China.
Xiaonan HeDepartment of Emergency and Critical Care Center, Beijing AnZhen Hospital, Capital Medical University, Beijing, China. hxndoctor@126.com.

Funding

National Natural Science Foundation of China 62272327
6 · The paper itself

Abstract

We aimed to derive a new high-sensitivity cardiac troponin I Access (hs-cTnI-Access) 0/1h-algorithm suitable for Chinese patients. In the multi-centre study, we enrolled 369 patients with suspected non-ST-segment elevation myocardial infarction (NSTEMI). Following an adjustment, AnZhen hs-cTnI-Access 0/1h-algorithm was established with rule-in cut-off values of 0 h ≥ 50 pg/mL or Δ1h ≥ 18.0 pg/mL and rule-out cut-off values of 0 h < 3 pg/mL or 0 h < 4 pg/mL and Δ1h < 3.0 pg/mL. These revised cutoffs presented a negative predictive value (NPV) of 99.46% (95% CI,97.02-99.91%) and a sensitivity of 98.81% (95% CI,93.56-99.79%), and also resulted in a positive predictive value (PPV) of 86.42% (95% CI,77.30-92.24%) and a specificity of 96.14% (95% CI,93.22-97.83%), both of which were superior to those of the ESC 0/1 h algorithm. The new hs-cTnI-Access 0/1 h-algorithm adjusted for Chinese data is promising for improving both safety and efficacy in Chinese patients.

Identifiers

PMID41776037
PMCPMC12912360

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