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Response time:
Typically < 24 hours.

Clinical Notice:Calculations must be re-checked and should not be used alone to guide patient care, nor should they substitute for professional clinical judgment. OpiCalc is an auxiliary reference tool for qualified healthcare professionals.

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hs-Troponin 0h/1h ESC Algorithm

Guidelines & Evidence

Verified

Last Review: 2026

When to Use

Target Population

Hemodynamically stable patients presenting to the ED with suspected NSTEACS.
Initial 12-lead ECG (within 10 min) must exclude ST-segment elevation (STEMI).
Symptoms suggestive of MI (chest pain, pressure, or atypical equivalents).

Exclusion Criteria

ST-segment elevation (STEMI) or acute vessel obstruction on ECG.
Unstable/hemodynamically compromised patients.
Unselected ED populations (e.g., primary sepsis or stroke without cardiac suspicion).

Last Comprehensive Review: 2026

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