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Previous Volume 350:718-720 February 12, 2004 Number 7 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Despite more than two decades of research that has shown the value and cost effectiveness of information from the medical history and physical examination for management decisions, physicians are increasingly reluctant to rely on these subjective data alone. The use of new biomarkers that promise to simplify clinical decision making is often adopted enthusiastically by practitioners. In the emergency department, for example, routine measurement of cardiac troponins reduces the need for busy doctors to struggle with difficult medical histories and atypical presentations of acute coronary disease when making triage decisions. When such biomarkers are used outside the context of good . . . [Full Text of this Article]

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From the Division of Cardiology, Department of Medicine, Duke University Medical Center and Duke Clinical Research Institute, Durham, N.C.

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