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Crowding was associated with increased length of ED stay (3.75-4.89 hours, p0.001). While median TAT of the first hsTnT increased (53-57 min, p0.001), total TAT of serial hsTnT did not increase significantly with higher crowding (p=0.17. Lower utilisation of fast algorithms (p=0.009) and increase of additional hsTnT measurements after diagnosis (p=0.001) were observed in higher crowding. Most importantly, crowding was significantly associated with prolonged absolute (p0.001), and particularly relative non-laboratory time (63
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