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Federal government websites often end in. The site is secure. The classification of elevated cardiac troponin levels has expanded with the advent of high sensitivity troponin assays over the last decade. Clinically, T2MI events are accompanied by ischemic findings, including chest pain and electrocardiogram changes. In contrast, patients with myocardial injury do not display evidence of ischemia. Despite their descriptive differences, both conditions are associated with short- and long-term increases in morbidity and mortality. We collected data on demographics, cardioprotective medication decisions, inpatient testing, discharge summary descriptions of elevated troponin levels, and recommendations for further outpatient evaluation. Our primary outcome was the proportion of patients initiated on cardioprotective medications or whose existing regimen was intensified.

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