I have just read an article advocating for a higher #troponin threshold for rule-out of #MyocardialInfarction in #EmergencyDepartment patients (https://www.hindawi.com/journals/emi/2024/2241528/). The paper makes the mistake of using #NegativePredictiveValue rather the #Sensitivity for assessing algorithm safety. Consequently, they advocate for a threshold that would miss 1 in 25 #MI.
The journal does not allow letters to the editor, so I have included one here.
#EmergencyRoom