Clinical Performance of Two Highly Sensitive Cardiac Troponin I Assays

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Clinical performance of two highly sensitive cardiac troponin I assays.

BACKGROUND The aim of this study was to compare the clinical performance of 2 sensitive cTnI assays with 10% CV imprecision below the 99th percentile upper reference limit. METHODS We measured cardiac troponin and N-terminal pro-brain natriuretic peptide (NT-proBNP) concentrations in a random sample of the Global Use of Strategies To Open Occluded Coronary Arteries (GUSTO) IV cohort (n = 1251...

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Highly sensitive cardiac troponin I assay leads to lowered specificity.

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Sensitive cardiac troponin assays: sense and sensibility.

To meet the criteria defined in the universal definition of acute myocardial infarction (AMI), sensitive assays for cardiac troponins I and T have recently been introduced into clinical medicine. Such assays are commonly understood to have a detection limit ,99th percentile of a reference population and a total imprecision at the 99th percentile ≤10%. The analytical performance of these assays,...

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The antibody configurations of cardiac troponin I assays may determine their clinical performance.

BACKGROUND Previous studies have shown superior clinical performance of the cardiac troponin I (cTnI) assay from Beckman-Coulter Diagnostics. This assay had a unique combination of monoclonal antibodies with 2 monoclonal antibodies directed against epitopes near the NH(2) terminus of the heart-specific region of troponin I. The approach has been adopted by the new cTnI assay from Abbott Diagnos...

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Degradation of cardiac troponin I in serum complicates comparisons of cardiac troponin I assays.

BACKGROUND Up to a 20-fold variation in serum cardiac troponin I (cTnI) concentration may be observed for a given patient sample with different analytical methods. Because more limited variation is seen for control materials and for purified cTnI, we explored the possibility that cTnI was present in altered forms in serum. METHODS We used four recombinantly engineered cTnI fragments to study ...

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ژورنال

عنوان ژورنال: Clinical Chemistry

سال: 2009

ISSN: 0009-9147,1530-8561

DOI: 10.1373/clinchem.2008.106500