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Newer, Better Tests for Heart Attacks
Date:8/26/2009

ed level of confidence for clinicians that we are moving in the right direction," said Dr. David A. Morrow, an associate professor of medicine at Harvard Medical School and director of the Levine Cardiac Unit at Brigham and Women's Hospital, who wrote an accompanying editorial.

The tests described in the studies "do perform better than other tests. They are more sensitive and there are fewer missed heart attacks in the emergency room," Morrow said.

His unit already has adopted one of the newer tests, which assays levels of troponin I, he said. But a physician can do well with any of the new tests, Morrow said. "Knowing the assay and how it performs is more important than whether it assays for I or T," he noted.

More information

Blood tests used to diagnose heart attacks are described by the American Heart Association.



SOURCES: E. Magnus Ohman, M.D., professor, medicine, and director, program for advanced coronary disease, Duke University, Durham, N.C.; David A. Morrow, M.D., associate professor, medicine, Harvard Medical School, and director, Levine Cardiac Unit, Brigham and Women's Hospital, Boston; Aug. 27, 2009, New England Journal of Medicine


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