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EMCREG-International is dedicated to research and education in the fields of Emergency Medicine and Acute Care. Since 1989, EMCREG has evolved into an international research and education network boasting 55 members representing 45 international academic researchers institutions, and have enrolled more 40,000 patients in trials, produced 50+ educational CME monographs, and held 35 live educational symposium. Our interests cover research and education in cardiovascular and neurovascular emergencies, neurointensive care, critical care medicine, and all acute care topics. Our focus is not only on education the physicians but all specialties involved in the care of acutely ill patients, including hospitalists, advanced practice providers, nursing and prehospital care as well as emergency physicians.

In this EMCREG-International Monograph, Impact of High Sensitivity Troponin on the Evaluation and Treatment of Acute Coronary Syndrome, you will find a detailed discussion regarding the use of high sensitivity troponin assays in patients presenting to the hospital with ACS from multiple perspectives including Emergency Medicine, Cardiology, Hospital Medicine, Laboratory Medicine, and Emergency Nursing. High sensitivity assays for troponin have been available for clinical use in Europe for the past decade and proved to be critical for the early diagnosis of acute myocardial necrosis in patients presenting to the emergency department (ED) with possible ACS and defining treatment for these patients which includes anti-platelet and anti-coagulant agents, as well as cardiologist intervention. In March 2017, high sensitivity cardiac troponin T was approved by the FDA for routine clinical use in the United States. Clearly many clinicians and laboratorians in the US have not had experience with high sensitivity troponin assays which has identified an important educational area for emphasis. This information on high sensitivity troponin becomes extremely important to emergency physicians, cardiologists, hospitalists, laboratorians, physician assistants, nurse practitioners, and emergency nurses as they routinely care for these often critically-ill patients.

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