High-sensitive troponin T measurement for patients with acute chest pain: improvement of diagnostics?

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High-sensitivity troponin T concentrations in acute chest pain patients evaluated with cardiac computed tomography.

BACKGROUND For evaluation of patients with chest pain and suspected acute coronary syndrome (ACS), consensus guidelines recommend use of a cardiac troponin cut point that corresponds to the 99 th percentile of a healthy population. Most conventional troponin methods lack sufficient precision at this low level. METHODS AND RESULTS In a cross-sectional study, 377 patients (mean age 53.7 years, ...

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Imaging High-Sensitivity Troponin T Concentrations in Acute Chest Pain Patients Evaluated With Cardiac Computed Tomography

Background—For evaluation of patients with chest pain and suspected acute coronary syndrome (ACS), consensus guidelines recommend use of a cardiac troponin cut point that corresponds to the 99th percentile of a healthy population. Most conventional troponin methods lack sufficient precision at this low level. Methods and Results—In a cross-sectional study, 377 patients (mean age 53.7 years, 64....

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Chest pain and high troponin level without significant respiratory symptoms in young patients with COVID-19

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High sensitive troponin T in individuals with chest pain of presumed ischemic origin.

This study was aimed at assessing the bias of high sensitive cardiac troponin T vs. the standard cardiac troponin T in a selected population with chest pain of presumed cardiac origin. Serum cTnT was determined in 132 patients and in 106 apparently healthy controls by both assays. The hs-cTnT outperformed the standard generation assay by: i) allowing a larger and earlier diagnosis of AMI (74.2 ...

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High-sensitivity versus conventional troponin for management and prognosis assessment of patients with acute chest pain.

OBJECTIVES High-sensitivity troponin (hs-cTn) is substituting conventional cTn for evaluation of chest pain. Our aim was to assess the impact on patient management and outcome. METHODS A total of 1372 consecutive patients presenting at the emergency department with non-ST-elevation acute chest pain were divided into two periods according to the cTn assay used, conventional (n=699, March 2008 ...

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ژورنال

عنوان ژورنال: Critical Care

سال: 2010

ISSN: 1364-8535

DOI: 10.1186/cc8497