Discussion
myocardial infarction, myocardial injury
MYOCARDIAL INFARCTION
In the primary report from the High-STEACS trial, we found that implementation of a high sensitivity cardiac troponin assay with sex specific 99th centile thresholds reclassified nearly one in five patients with myocardial injury and increase the provision of evidence based treatments.Our original hypothesis was that the implementation of the high sensitivity assay and the use of a lower diagnostic threshold would identify patients with a missed diagnosis of myocardial infarction using less sensitive contemporary troponin assays, and that recognition of these patients would result in better care and outcomes.