Abstract |
Cardiac troponin is the preferred biomarker for the diagnosis of acute myocardial infarction (AMI). The recent development of a high-sensitive cardiac troponin T (hs-cTnT) assay permits detection of very low levels of cTnT. Using the hs-cTnT assay improves the overall diagnostic accuracy in patients with suspected AMI, while a negative result also has a high negative predictive value. The gain in sensitivity may be particularly important in patients with a short duration from symptom onset to admission. Measurement of cardiac troponin T with the hs-cTnT assay may provide strong prognostic information in patients with acute coronary syndromes, stable coronary artery disease, heart failure and even in the general population; however, increased sensitivity comes at a cost of decreased specificity. Serial testing, as well as clinical context and co-existing diseases, are likely to become increasingly important for the interpretation of hs-cTnT assay results.
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Authors | Ru-Yi Xu, Xiao-Fa Zhu, Ye Yang, Ping Ye |
Journal | Journal of geriatric cardiology : JGC
(J Geriatr Cardiol)
Vol. 10
Issue 1
Pg. 102-9
(Mar 2013)
ISSN: 1671-5411 [Print] China |
PMID | 23610580
(Publication Type: Journal Article)
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