There remains wide variation and inconsistency in the terminology used by practicing clinicians to describe clinical scenarios involving elevated Tn. A study of discharge summaries of patients discharged from the medical service at three Rhode Island hospitals found that 19 distinct terms were used to describe the patients’ Tn values, many of which were imprecise (e.g., “troponin bump”, “troponin leak”) or deprecated (e.g., “type 2 NSTEMI” instead of “type 2 MI” or “NSTEMI”) [7]. This suggests that greater efforts are needed to raise awareness of the terminology and paradigm espoused in the fourth UDMI, more than five years after its publication.

(Figure from Lang, 2022)