Abstract

Rapid diagnosis or exclusion of acute myocardial infarction based on a single admission troponin measurement is a highly attractive option and has been endorsed by the European Society of Cardiology. It is accepted that risk factor scoring is required in addition to troponin measurement. The paper reviewed in this editorial suggests that the current scoring system included in the guidelines, the Global Registry of Acute Coronary Events score may not be appropriate and also highlights differences between findings from clinical study populations and audit of routine clinical practice.