As a Consultant Emergency Physician and Head of the Emergency Department at the Institut Jantung Negara (National Heart Institute), one of the leading heart care centres in Southeast Asia, Dr Farina Mohd Salleh recently helped implement the 0-hour/1-hour high-sensitivity cardiac troponin algorithm. In this lecture at RED 2023, she discusses the key challenges and considerations around this process, as well as its benefits for managing chest pain patients in the emergency department.