Table 3– Raised troponin relative to chest pain and ECG features
>3×cut-off#>cut-off#≤cut-off#p-value
Patients n159218
Any chest pain9 (60)4 (44)111 (51)0.77
High-risk chest pain2 (13)048 (22)0.29
First-admission ECG
 Diagnostic ECG4 (27)3 (33)28 (13)0.06
 Equivocal ECG5 (33)3 (33)80 (36)>0.99
 Sinus tachycardia8 (53)7 (78)97 (44)0.14
 Left bundle block0012 (6)>0.99
 Right bundle block3 (20)012 (6)0.08
 P pulmonale2 (13)1 (11)17 (8)0.36
 Right axis deviation2 (13)1 (11)17 (8)0.36
 Serial ECG changes7 (50)4 (50)72 (40)0.39
  • Data are presented as n (%), unless otherwise stated. #: cut-offs differed between sites and were based on the lowest concentration where the coefficient of variation was <10% as recommended by the 2007 Universal Definition [11] as follows. Royal Infirmary of Edinburgh, Edinburgh, UK (ARCHITECT troponin I assay; Abbott Diagnostics, Abbott Park, IL, USA): 0.15 ng·mL−1 prior to introduction of a new assay (November 17, 2007) and 0.05 ng·mL−1 thereafter; Glasgow Royal Infirmary, Glasgow, UK (ARCHITECT): 0.04 ng·mL−1; Monklands Hospital, Airdrie and Crosshouse Hospital, Kilmarnock, UK (troponin T assay; Roche, Basel, Switzerland): 0.03 ng·mL−1.