How to best use high-sensitivity cardiac troponin in patients with suspected myocardial infarction.

Abstract:

:High-sensitivity cardiac troponin (hs-cTn) assays have been used clinically by thousands of physicians in many countries throughout the world since their clinical introduction seven years ago. In the early diagnosis of myocardial infarction (MI), beyond doubt the most important indication of hs-cTn assays, these simple, inexpensive and highly reproducible tools complement detailed clinical assessment including chest pain characteristics and the electrocardiogram. Hs-cTn assays for the first time allowed the precise quantification of cardiomyocyte injury around the 99th percentile and thereby substantially increased the accuracy of MI detection from blood obtained at presentation to the emergency department (ED). Higher accuracy at ED presentation enabled the development and extensive validation of early hs-cTn-based diagnostic algorithms, which substantially reduced the time required for the safe rule-out or rule-in of MI. This review summarizes key principles underlying the safe and effective use of hs-cTn in the ED in patients with suspected MI.

journal_name

Clin Biochem

journal_title

Clinical biochemistry

authors

Twerenbold R,Boeddinghaus J,Nestelberger T,Wildi K,Rubini Gimenez M,Badertscher P,Mueller C

doi

10.1016/j.clinbiochem.2017.12.006

subject

Has Abstract

pub_date

2018-03-01 00:00:00

pages

143-155

eissn

0009-9120

issn

1873-2933

pii

S0009-9120(17)31037-8

journal_volume

53

pub_type

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