How accurate are troponin levels in evaluating ACS in patients with renal disease?
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In patients with elevated troponin levels and symptoms of acute coronary syndrome (ACS), troponin levels should be considered prognostic regardless of creatinine clearance (CrCl) (SOR: A, RCT). Troponin assays, however, do have reduced accuracy in patients on dialysis (SOR: B, retrospective cohort study).
Evidence Based Practice 15(10): 01.