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The notice also cites fundamentally flawed statistical analyses using circular modeling that double-counts troponin via its combination with the HEART score, invalidating reported predictive performance and conclusions. Authors agreed with the retraction decision.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/retraction-retraction-notice-diagnostic-and-prognostic-utility-of-high-sensitivity-troponin-t-hs-tnt-and-heart-score/453855/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/retraction-retraction-notice-diagnostic-and-prognostic-utility-of-high-sensitivity-troponin-t-hs-tnt-and-heart-score/453855.png","ImageObject",300,407,{"name":92,"@type":93},"Ophelia","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-02","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",16,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"When was the article published and when was it retracted?","Question",{"text":113,"@type":114},"The article was published on 09/18/2025 and retracted on 01/06/2026.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What key data issue led to the retraction?",{"text":118,"@type":114},"Internally inconsistent primary outcome counts were reported, with substantially different 30-day and 45-day MACE numbers in the abstract compared with the results, tables, and figures.",{"name":120,"@type":111,"acceptedAnswer":121},"How did the statistical method affect the study’s conclusions?",{"text":122,"@type":114},"The statistical analyses were described as fundamentally flawed due to circular modeling that double-counts troponin through its combination with the HEART score, invalidating the reported predictive performance and conclusions.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},453855,1790792007,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":81,"preview_page_count":4},7971461741311,"https://ap-avatar.wpscdn.com/avatar/74000253aff267980c6?x-image-process=image/resize,m_fixed,w_180,h_180&k=1779345379180704826","Retraction  \nDOI: 10.7759/cureus. r215  \nRetracted: Diagnostic and Prognostic Utility of High-Sensitivity Troponin T ( hs-TNT) and HEART Score in Risk Stratification of Acute Chest Pain in the Emergency Department  \nArticle published 09/18/2025    \nRetracted 01/06/2026  \nMuhammad Tayyab 1, Muhammad Farooq 2, Muhammad Subhan Javed Butt 3, 4 , Tamilarasu Gunasekaran 5 , Aisha Bashir 6, Murad Ali 7, Muhammad Arsalan 8 , Muhammad Afnan 9 , Muhammad Irfan Ullah 10  \n1. Trauma and Orthopaedics, Hayatabad Medical Complex Peshawar, Peshawar, PAK 2. Internal Medicine, Nishtar Medical University, Nishtar-II Hospital, Multan, PAK 3. Emergency Medicine, Royal Lancaster Infirmary, Lancaster, GBR 4. Emergency Medicine, Shifa International Hospital Islamabad, Islamabad, PAK 5. Emergency Medicine, Kampar Hospital, Perak, MYS 6. Internal Medicine, Omar Hospital and Cardiac Centre, Lahore, PAK 7. Internal Medicine, Bacha Khan Medical College, Medical Teaching Institution (MTI) Mardan Medical Complex, Mardan, PAK 8. Internal Medicine, Pakistan Institute of Medical Sciences (PIMS) Hospital, Peshawar, PAK 9. Internal Medicine, Divisional Headquarter Hospital, Kohat, PAK 10. Internal Medicine, Saidu Medical College, Swat, PAK  \nCorresponding author: Murad Ali, [drmurad636@gmail.com](drmurad636@gmail.com)  \n[Corresponding author:](Corresponding author: Murad Ali)[ Murad Ali](Corresponding author: Murad Ali)  \n1. Trauma and Orthopaedics , Hayatabad Medical Complex Peshawar, Peshawar, PAK 2 . Internal Medicine , Nishtar Medical University, Nishtar-II Hospital, Multan , PAK 3. Emergency Medicine , Royal Lancaster Infirmary, Lancaster, GBR 4 . Emergency Medicine , Shifa International Hospital Islamabad , Islamabad , PAK 5. Emergency Medicine , Kampar Hospital, Perak , MYS 6. Internal Medicine , Omar Hospital and Cardiac Centre , Lahore , PAK 7 . Internal Medicine , Bacha Khan Medical College , Medical Teaching Institution (MTI) Mardan Medical Complex , Mardan , PAK 8. Internal Medicine , Pakistan Institute of Medical Sciences (PIMS) Hospital, Peshawar, PAK 9. Internal Medicine , Divisional Headquarter Hospital, Kohat , PAK  \n10. Internal Medicine , Saidu Medical College , Swat , PAK  \nHow to cite this retraction  \nTayyab M , Farooq M , Butt M , et al. (January 06 , 2026) Retraction: Diagnostic and Prognostic Utility of High-Sensitivity Troponin T (hs-TNT) and  \nHEART Score in Risk Stratification of Acute Chest Pain in the Emergency Department. Cureus 18(1): r215. doi:10.7759/cureus. r215  \nRetraction Notice  \nThis article has been retracted by the Editor-in-Chief due to serious concerns regarding the reliability and integrity of the reported data and analyses. The article contains internally inconsistent primary outcome counts, with substantially different 30-day and 45-day MACE numbers reported in the abstract compared with the results, tables, and figures, rendering the core findings unreliable. Additionally, the statistical analyses are fundamentally flawed by circular modeling that double-counts troponin through its combination with the HEART score, invalidating the reported predictive performance and conclusions. The authors agree with the decision to retract.","cbCaipxnQ7cseVRg","https://ap.wps.com/l/cbCaipxnQ7cseVRg","pdf",73110,"English","# Retraction Notice\n## Publication and retraction dates\n## Reasons for retraction\n## Citation information","[{\"question\":\"When was the article published and when was it retracted?\",\"answer\":\"The article was published on 09/18/2025 and retracted on 01/06/2026.\"},{\"question\":\"What key data issue led to the retraction?\",\"answer\":\"Internally inconsistent primary outcome counts were reported, with substantially different 30-day and 45-day MACE numbers in the abstract compared with the results, tables, and figures.\"},{\"question\":\"How did the statistical method affect the study’s conclusions?\",\"answer\":\"The statistical analyses were described as fundamentally flawed due to circular modeling that double-counts troponin through its combination with the HEART score, invalidating the reported predictive performance and conclusions.\"}]","Retraction - Retraction Notice - Diagnostic and Prognostic Utility of High-Sensitivity Troponin T (hs-TNT) and HEART Score | PDF",1790739732]