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All emergency medicine trends
RisingEmergency medicine · updated 18 Oct 2026

High-sensitivity troponin pathways

Rapid rule-in and rule-out algorithms for myocardial infarction using high-sensitivity troponin.

Key point

The ESC 0/1-hour pathway did not increase 4-hour discharge versus 0/3-hour testing but was noninferior for discharge safety.

From: Accelerated Diagnostic Pathways for Suspected Acute Coronary Syndrome in Practice: A Randomized Trial of 0/1-Hour vs 0/3-Hour Troponin Testing (J Am Coll Cardiol, 2026 Sep 15) ↗
59PubDaily Trend Score
+21%new papers vs last year
14new trials registered
1new guidelines this year

Papers per year

Each bar is 12 months; the last one ends 17 Oct 2026. New trials in the same years: 5, 13, 8, 7, 14.

New guidelines and consensus this year

  1. National Heart Foundation of Australia and Cardiac Society of Australia and New Zealand: Australian Clinical Guideline for Diagnosing and Managing Acute Coronary Syndromes 2025
    Med J Aust2026 Feb

All papers from the last 12 months

136 papers (18 Oct 2025 – 17 Oct 2026), newest first. Loading the full list…

Open this search in PubMed
  1. Rule-Out yield of the European society of cardiology 0/1-Hour troponin protocol in frail and non-frail octogenarians
    Ir J Med Sci2026 Oct 15PMID 42879120
  2. A 0/2-Hour Algorithm Using a Novel Point-of-Care High-Sensitivity Cardiac Troponin I Assay for Suspected Myocardial Infarction
    Am Heart J2026 Oct 13PMID 42869272
  3. Complications associated with thoracic endovascular aortic repair: highlighting the role of peri- and post-operative cardiac monitoring
    Expert Rev Cardiovasc Ther2026 Oct 12PMID 42859403Review
  4. Self-inflicted thoracoabdominal nail-gun injury presenting as STEMI: diagnostic challenges in a time-critical care pathway
    J Surg Case Rep2026 OctPMID 42859707
  5. Functional, Hemodynamic and Molecular Determinants for Evaluating the Efficacy of Sodium-glucose Cotransporter-2 Inhibitor Therapy in Diabetic Kidney Disease
    Ann Afr Med2026 Oct 7PMID 42844933
  6. Beyond troponin: emerging biomarker strategies to differentiate type 1 from type 2 myocardial infarction
    Curr Probl Cardiol2026 OctPMID 42362128Review
  7. Clinical performance of the next generation Elecsys Troponin T high-sensitivity Gen 6 assay in acute coronary syndrome (PERFORM-TSIX): study design
    Clin Res Cardiol2026 OctPMID 41553478
  8. Impact of subthreshold troponin levels and temporal trends on short term adverse cardiovascular outcomes in patients discharged from the emergency department: a RACE-IT trial substudy
    Clin Res Cardiol2026 OctPMID 41284048RCT
  9. Differential effects of a 0/1-hour high-sensitivity troponin algorithm across academic and community emergency departments
    Am J Emerg Med2026 Sep 18PMID 42784939
  10. Accelerated Diagnostic Pathways for Suspected Acute Coronary Syndrome in Practice: A Randomized Trial of 0/1-Hour vs 0/3-Hour Troponin Testing
    J Am Coll Cardiol2026 Sep 15PMID 42159533RCT

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How these numbers are counted

PubMed query, searched in titles and abstracts by publication date:

("high-sensitivity troponin"[tiab] OR "high-sensitivity cardiac troponin"[tiab]) AND (pathway*[tiab] OR algorithm*[tiab] OR "rule-out"[tiab])

Trials: ClinicalTrials.gov studies first submitted in each 12-month window that match the same terms. A query can miss synonyms or catch unrelated papers, so treat counts as approximate.