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LAPORAN PENGANJURAN SEMINAR KEPENDUDUKAN NEGERI SELANGOR 2024 (SKNS 2024)
Poster Number: 197

Survey on Knowledge of Troponin Testing

among Medical Officers in Internal

Medicine and Emergency Department

Authors:
1
1
2
1
1
1
1
1 M.N.Mahtar, Z.Abas, S. Ismail, J.Tinakaran, S.Y. Shern, M.H.Kamaruzaman, A.M.A. Rahim, N.S.Shahril.
Affiliation:
1. DepartmentofMedicine, HospitalPutrajaya
2.DepartmentofEmergency Medicine, HospitalPutrajaya
1. B. KNOWLEDGE
INTRODUCTION
Troponin is a widely used biomarker for the diagnosis of 97.9% 98.9%
acute coronary syndrome (ACS), but it can also be
elevated in other conditions. It is important for medical Troponin as a protein Troponin test for patient
officers (MOs) to have adequate knowledge and found in heart muscle with chest pain
appropriate attitude towards the use and interpretation
of troponin tests to avoid misdiagnosis and unnecessary 44.2% 78.9%
treatment.
Role of troponin in Elevated troponin levels
confirming the diagnosis caused by PE, myocarditis
2. AIM of ACS. & renal failure

We aimed to assess the knowledge, attitude, and Participants knew the correct
time-frame
recommendation
practice of MOs in the use of troponin tests through a 37.9% for troponin testing is within 6
self-administered questionnaire. hours of presentation
MOs from internal medicine department were
significantly better at identifying the correct time
3. METHODOLOGY frame compared to the MOs from emergency
2
medicine (p=0.005, c = 8.59).
1. STUDY DESIGN Cross – sectional study
C. ATTITUDE & PRACTICE
2. STUDY SITE Hospital Putrajaya
Will order troponin testing
82.1%in patients with chest pain
3. STUDY TOOLS Data Collection Form Felt somewhat or very confident
82.2%in interpreting the test results.
Medical Officers (MO)
4. STUDY POPULATION from Internal Medicine Chose to
& Medical Departments 81.1% 61.1%monitor and
Encountered repeat the test 6 hours
after the first troponin test
false positive in cases of false-positive
troponin results
4. RESULTS in their practice result, rather than starting
treatment
ACS
discharging the patient. or
A. DEMOGRAPHIC
95 5. CONCLUSION
• 95 MOs participated

57.9% (ED) 42.1% (IM) This study highlights the need for further training of MOs
on the appropriate use of troponin test, its recommended
78.9% 20.0% 1.10% time frame for testing and interpretation of test results,
especially in the setting of false positive troponin results.
Experiences Experiences Experiences
<5 years 5 - 10 years 11 – 15years
Acknowledgement:
We would like to thank the Director General Ministry of Health Malaysia for the permission to present this abstract.
RSCH ID-23-01873-NG3 | NMRR ID-23-01610-JPT

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