Improving Rapid Decision-Making in the Face of Uncertainty: A randomised trial of a 1-hour troponin protocol in suspected acute coronary syndromes

胸痛患者是急诊科需求的一大负担。他们的有效护理需要及时的风险评估。心肌损伤（肌钙蛋白）的高灵敏度检测提高了检测心脏病发作低风险患者的能力，但基于这些检测的治疗规则尚未得到充分验证。这项基于新型肌钙蛋白试验的临床决策随机试验将为其在急诊科护理中的高效和有效使用提供指导。

Chest pain patients are a large burden of emergency department demand. Their effective care requires timely risk assessment. High-sensitivity assays for heart muscle damage (troponin) increases the ability to detect patients at low risk for heart attack but treatment rules based on these tests have not been fully validated. This randomised trial of clinical decision making based on new troponin tests will provide a guidelines for their efficient and effective use in emergency department care.