High-sensitivity cardiac troponin testing in routine practice: economic and organizational advantages
نویسندگان
چکیده
منابع مشابه
Clinical, organizational and economic analysis of high-sensitivity cardiac troponin testing in the emergency department
The measurement of cardiac troponins (cTns) has become the mainstay for the diagnosis of acute coronary syndrome (ACS), since the assessment of either cardiac troponin T (cTnT) or cardiac troponin I (cTnI) has now outperformed whatever other available biomarker, to be used alone or in combination with cTns (1). This paradigm shift has been strongly supported by recent introduction in clinical p...
متن کاملHigh sensitivity cardiac troponin testing.
Bösner and colleagues have presented evidence for a simple rule for ruling out coronary artery disease in the primary care setting. It is noteworthy that no laboratory measurements have been included in their model, with reference to their introductory statement that “ ... electrocardiography and cardiac troponin test are of limited value in primary care... ” This point deserves some discussion...
متن کاملHigh-sensitivity cardiac troponin: from theory to clinical practice.
Since 2000, cardiac troponin (cTn) has been the recommended biomarker for the evaluation of patients with a possible diagnosis of acute myocardial infarction (AMI). Most of the cTn immunoassays currently in use lack the analytical sensitivity to accurately measure the upper reference limit (URL), ie, the 99th percentile reference value, which is the guideline-mandated cutoff value for myocardia...
متن کاملStressing the Utility of High-Sensitivity Cardiac Troponin Testing in Patients with Possible Cardiac Ischemia
Strategies to rule out myocardial infarction (MI)2 in the emergency department include stress test echocardiography, electrocardiography, and assessment of cardiac biomarkers such as troponin I and T (1). The potential for new high-sensitivity cardiac troponin testing to simplify and expedite these rule-out protocols is of great interest. Is all the hype justified? Or are we placing unreasonabl...
متن کاملBiological variation of high sensitivity cardiac troponin-T in stable dialysis patients: implications for clinical practice.
BACKGROUND Changes in high sensitivity cardiac troponin-T (hs-cTnT) concentrations may reflect either acute myocardial injury or biological variation. Distinguishing between these entities is essential to accurate diagnosis, however, the biological variation of hs-cTnT in dialysis population is currently unknown. We sought to estimate the within- and between-person coefficients of variation of ...
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ژورنال
عنوان ژورنال: Annals of Translational Medicine
سال: 2016
ISSN: 2305-5839,2305-5847
DOI: 10.21037/atm.2016.07.04