A Systematic Review Of 30-day Event Rates In Patients Evaluated For Chest Pain With Normal Troponin Levels

Conclusion: Combined death and MI rates at 30 days in patients evaluated for chest pain and normal troponin ranges from 0.3% to 11%. Only one trial identified a risk <1% for patients with a normal troponin. Although the risk is small, a 30 day event rate of >1% may represent an unacceptable risk for this cohort of patients. Prompt inpatient or outpatient evaluation with provocative testing is still necessary in this patient population.