Abstract

Despite substantial advances in the diagnostic approach to patients presenting with suspected acute myocardial infarction (AMI), the risk stratification is as yet challenging, as nearby several patients may present with aspecific clinical symptoms, non-indicative electrocardiographic changes and non-diagnostic concentrations of traditional biomarkers at admission. Therefore, earlier predictors of myocardial ischemia are increasingly needed to support reliable investigation strategies [1]. In a recent issue of this journal, the role of laboratory testing was disputed, as it was proven that cardiospecific troponins, the current biochemical gold standard for diagnosing AMI, could be elevated in a number of conditions other than myocardial ischemic damage [2].

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