[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-566681-105":53,"doc-detail-566681-en":127},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":120,"head_meta":122,"extra_data":124,"updated_unix":126},105,"en","wachs-chest-pain-pathway-troponin-information","WACHS Chest Pain Pathway - Troponin Information","","This document provides critical clinical information regarding the interpretation of high-sensitivity cardiac troponin results within the WACHS Chest Pain Pathway. It details a structured diagnostic algorithm for identifying myocardial infarction, acute myocardial injury, and chronic injury based on serial troponin testing. Furthermore, the guide outlines non-ischaemic causes of troponin elevation, such as sepsis, renal failure, and heart failure. Specific reference ranges for high-sensitivity and conventional troponin levels are provided, along with sex-specific upper reference limits. This resource serves as essential supporting documentation for healthcare professionals, emphasizing that it is intended for informational purposes rather than as a standalone decision-making tool for clinical diagnosis. It adheres to the latest 2025 Australian clinical guidelines for diagnosing and managing acute coronary syndromes, ensuring that clinicians have access to accurate, up-to-date biochemical thresholds for effective patient management and assessment.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":51,"@type":70,"position":76},"https://docshare.wps.com/template/general/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/wachs-chest-pain-pathway-troponin-information/566681/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/wachs-chest-pain-pathway-troponin-information/566681.png","ImageObject",442,249,{"name":88,"@type":89},"asba","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-28","2026-10-13",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",10,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What are the primary non-ischaemic causes of elevated troponin levels?","Question",{"text":109,"@type":110},"Non-ischaemic causes include sepsis, pulmonary embolus, renal failure, heart failure, arrhythmia, cardiomyopathy, myocarditis, cocaine use, and the use of cardiotoxic drugs.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"How is a significant delta defined for high-sensitivity troponin at 2 hours?",{"text":114,"@type":110},"A significant delta for high-sensitivity troponin at 2 hours is defined as a change of 8 ng/L or greater.",{"name":116,"@type":107,"acceptedAnswer":117},"What are the sex-specific upper reference limits for high-sensitivity troponin?",{"text":118,"@type":110},"The upper reference limits for high-sensitivity troponin are 26 ng/L for males and 16 ng/L for females.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},566681,1792118346,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":50,"category_name":51,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":9,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":4},3985747872567,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","InfoSheet  \nTroponin Information-WACHS Chest Pain Pathway  \nNote: this is supporting information and is not intended to be used as a decision making tool.  \nFigure 1: Clinical interpretation of high-sensitivity cardiac troponin results 1  \nFigure 2: NonIschaemic causes of troponin elevation  \n• Sepsis  \n• Pulmonary embolus  \n• Renal failure  \n• Heart failure  \n• Arrhythmia  \n• Cardiomyopathy  \n• Myocarditis  \n• Cocaine  \n• Cardiotoxic drugs  \n\n| Figure 3: Troponin values and interpretation |\n| --- |\n| a. High sensitivity (hs) troponin: “Very low” \u003C 4 ng/L Upper reference limit (URL) • Male 26 ng/L • Female 16 ng/L Significant delta at 2 hours ≥ 8 ng/L “Highly abnormal” > 40 ng/L\u003Cbr>b. Conventional troponin: Normal ≤ 0.04 micrograms/L Elevated > 0.04 micrograms/L\u003Cbr>Source: Sex specific cut-offs as provided by Ee Mun Lim – HOD Clinical Biochemistry Pharmacology and Toxicology, PathWest QEII. |\n\nReference  \n• National Heart Foundation of Australia & Cardiac Society of Australia and New Zealand Australian clinical guideline for diagnosing and managing acute coronary syndromes 2025  \nTrim reference: ED-CO-24-250373 Version 2.0 July 2025","cbCaisgNpqMNzg53","https://ap.wps.com/l/cbCaisgNpqMNzg53","pdf",435312,"English","# Clinical Interpretation of Troponin\n## Non-Ischaemic Causes of Troponin Elevation\n## Troponin Values and Interpretation\n## Reference Guidelines","[{\"question\":\"What are the primary non-ischaemic causes of elevated troponin levels?\",\"answer\":\"Non-ischaemic causes include sepsis, pulmonary embolus, renal failure, heart failure, arrhythmia, cardiomyopathy, myocarditis, cocaine use, and the use of cardiotoxic drugs.\"},{\"question\":\"How is a significant delta defined for high-sensitivity troponin at 2 hours?\",\"answer\":\"A significant delta for high-sensitivity troponin at 2 hours is defined as a change of 8 ng/L or greater.\"},{\"question\":\"What are the sex-specific upper reference limits for high-sensitivity troponin?\",\"answer\":\"The upper reference limits for high-sensitivity troponin are 26 ng/L for males and 16 ng/L for females.\"}]","WACHS Chest Pain Pathway - Troponin Information | PDF",1791863290]