# New pathways with high-sensitivity cardiac troponin testing at the point of care in the ambulance and primary care

**Authors:** Tonje Rambøll Johannessen, Richard Body, Johannes Mair, Nicholas L Mills, Louise Cullen, Bertil Lindahl, Bertil Lindahl, Jasper Boeddinghaus, Louise Cullen, Lori Daniels, Ola Hammarsten, Kurt Huber, Evangelos Giannitsis, Allan S Jaffe, Dorien M Kimenai, Konstantin A Krychtiuk, Martin Möckel, Christian Mueller, Matthias Thielmann, Kristian Thygesen, Johannes Mair, Nicholas L Mills

PMC · DOI: 10.1093/ehjacc/zuaf157 · European Heart Journal. Acute Cardiovascular Care · 2025-12-02

## TL;DR

This paper explores new care pathways using high-sensitivity cardiac troponin testing in ambulances and primary care to improve outcomes for chest pain patients.

## Contribution

The paper introduces pre-hospital point-of-care testing for cardiac troponin to enhance early diagnosis and care for possible myocardial infarction.

## Key findings

- Pre-hospital testing can enable faster diagnosis of myocardial infarction.
- Point-of-care testing in ambulances and primary care improves care pathways for chest pain patients.
- Early troponin testing supports timely decision-making and resource allocation.

## Abstract

Graphical AbstractImproving care with pre-hospital high-sensitivity cardiac troponin testing at the point of care: pathways and considerations. (A) Usual care for patients with chest pain and possible myocardial infarction. (B) Improving care pathways with pre-hospital high-sensitivity cardiac troponin at the point of care in primary care and the ambulance.For image description, please refer to the figure legend and surrounding text.

Improving care with pre-hospital high-sensitivity cardiac troponin testing at the point of care: pathways and considerations. (A) Usual care for patients with chest pain and possible myocardial infarction. (B) Improving care pathways with pre-hospital high-sensitivity cardiac troponin at the point of care in primary care and the ambulance.

## Linked entities

- **Diseases:** myocardial infarction (MONDO:0005068)

## Full-text entities

- **Diseases:** Chest pain (MESH:D002637), MI (MESH:D009203), cardiac (MESH:D006331), Trauma (MESH:D014947)
- **Chemicals:** cTn (MESH:C403585), hs (MESH:D006859), cTnT (-)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

1 figure with captions in the complete paper: https://tomesphere.com/paper/PMC13016925/full.md

## References

6 references — full list in the complete paper: https://tomesphere.com/paper/PMC13016925/full.md

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Source: https://tomesphere.com/paper/PMC13016925