Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Nov 24;8(3):388-391.
doi: 10.1515/dx-2020-0133. Print 2021 Aug 26.

Chest pain management: use of troponins in internal medicine wards

Alfonso Ilardi  1 , Giuseppe Caruso  2 , Ciro Rosario Ilardi  3 , Maria D'Avino  4
Affiliations
Free article

Chest pain management: use of troponins in internal medicine wards

Alfonso Ilardi et al. Diagnosis (Berl). .
Free article

Abstract

Objectives: To probe the reference biomarkers used to manage chest pain (CP) by Italian internists.

Methods: Two hundred and fifty-seven doctors registered as members of the Federation of Associations of Hospital Doctors on Internal Medicine of the Campania Region (FADOI-Campania) were surveyed by means of Google Forms platform. Each participant was asked to report his/her sex, age, and location and hospital size (beds in hospital) in which he/she worked. Furthermore, they were asked to indicate the reference biomarker he/she usually employed in the management of patients with CP, choosing from four possible answers. In line with national and international guidelines, cardiac troponins are the gold standard biomarkers.

Results: Eighty-two internists (30 females) completed the survey. Interestingly, only 30.5% of participants indicated the cardiac troponins as reference biomarker. Moreover, internists working in medium-sized hospitals appeared to prefer the simultaneous measurement of cardiac troponins and Creatine Kinase MB Isoenzyme.

Conclusions: Given the economic impact of performing inappropriate examinations and the frequency of the CP symptom and associated diseases, rethinking pathways in a multidisciplinary and shared fashion can promote optimization and appropriateness, and therefore stop wastefulness.

Keywords: chest pain; internal medicine; survey; troponins.

PubMed Disclaimer

Comment in

References

    1. Pittet, V, Burnand, B, Yersin, B, Carron, PN. Trends of pre-hospital emergency medical services activity over 10 years: a population-based registry analysis. BMC Health Serv Res 2014;14:380. https://doi.org/10.1186/1472-6963-14-380.
    1. Ottani, F, Binetti, N, Casagranda, I, Cassin, M, Cavazza, M, Grifoni, S, et al.. Chest pain evaluation project [Percorso di valutazione del dolore toracico. Valutazione dei requisiti di base per l’implementazione negli ospedali italiani]. G Ital Cardiol 2009;10:46–63.
    1. Fruergaard, P, Launbjerg, J, Hesse, B, Jørgensen, F, Petri, A, Eiken, P, et al. The diagnoses of patients admitted with acute chest pain but without myocardial infarction. Eur Heart J 1996;17:1028–34. https://doi.org/10.1093/oxfordjournals.eurheartj.a014998.
    1. Brims, FJ, Davies, HE, Lee, YC. Respiratory chest pain: diagnosis and treatment. Med Clin North Am 2010;94:217–32. https://doi.org/10.1016/j.mcna.2010.01.003.
    1. Zuin, G, Parato, VM, Groff, P, Gulizia, MM, Di Lenarda, A, Cassin, M, et al.. ANMCO/SIMEU Consensus document: in-hospital management of patients presenting with chest pain [Documento di consenso ANMCO/SIMEU: Gestione intraospedaliera dei pazienti che si presentano con dolore toracico]. G Ital Cardiol 2016;17:416–46. https://doi.org/10.1714/2262.24346.

LinkOut - more resources