Chest pain management: use of troponins in internal medicine wards
Author:
Ilardi Alfonso1, Caruso Giuseppe2, Ilardi Ciro Rosario3ORCID, D’Avino Maria4
Affiliation:
1. Pneumological Area Manager, FADOI-Campania, U.O.S.D. Detenuti, A.O.R.N. “Antonio Cardarelli” , Naples , Italy 2. U.O.C. Lungodegenza, A.O.R.N. “Antonio Cardarelli” , Naples , Italy 3. Department of Psychology , University of Campania “Luigi Vanvitelli” , Caserta , Italy 4. President, FADOI-Campania, U.O.C. Lungodegenza, A.O.R.N. “Antonio Cardarelli” , Naples , Italy
Abstract
Abstract
Objectives
To probe the reference biomarkers used to manage chest pain (CP) by Italian internists.
Methods
Two hundred and fifty-seven doctors registered as members of the Federation of Associations of Hospital Doctors on Internal Medicine of the Campania Region (FADOI-Campania) were surveyed by means of Google Forms platform. Each participant was asked to report his/her sex, age, and location and hospital size (beds in hospital) in which he/she worked. Furthermore, they were asked to indicate the reference biomarker he/she usually employed in the management of patients with CP, choosing from four possible answers. In line with national and international guidelines, cardiac troponins are the gold standard biomarkers.
Results
Eighty-two internists (30 females) completed the survey. Interestingly, only 30.5% of participants indicated the cardiac troponins as reference biomarker. Moreover, internists working in medium-sized hospitals appeared to prefer the simultaneous measurement of cardiac troponins and Creatine Kinase MB Isoenzyme.
Conclusions
Given the economic impact of performing inappropriate examinations and the frequency of the CP symptom and associated diseases, rethinking pathways in a multidisciplinary and shared fashion can promote optimization and appropriateness, and therefore stop wastefulness.
Publisher
Walter de Gruyter GmbH
Subject
Biochemistry (medical),Clinical Biochemistry,Public Health, Environmental and Occupational Health,Health Policy,Medicine (miscellaneous)
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