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Are troponin levels indicated for the routine management of SVT?

Report by: Cheryl Czapla, Aaron Bernard, Medical Student and Emergency Physician

Search checked by: Sorabh Khandelwal, Emergency Medicine Physician

Institution: The Ohio State College of Medicine, Ohio, USA

A short-cut review was carried out to establish whether troponin levels are useful for evaluating the presence of coronary artery disease (CAD) in patients presenting with supraventricular tachycardia (SVT). Six studies were directly relevant to the question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these studies are shown in table 1. The clinical bottom line is that there has not been enough research to date to support the routine use of troponin levels in the evaluation of SVT.

Three-part question

In [patients presenting with supraventricular tachycardia] are [troponin levels] useful for [evaluating the presence of coronary artery disease]?

Clinical scenario

A …

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