High sensitivity troponin measurement in critical care: Flattering to deceive or ‘never means nothing’?
نویسندگان
چکیده
منابع مشابه
High-Sensitivity Troponin Assays: Boon or Bane for the Cardiologist?
The Troponin Era The advent of the “troponin era” has its roots in the redefi nition of acute myocardial infarction (AMI) by the joint committee of European and American cardiologists in 2000.1 Troponin was identifi ed as the preferred serologic biomarker for acute coronary syndrome (ACS). Since then, troponin assays have continued to evolve with improved sensitivity and reproducibility, leadin...
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 I measurement for risk stratification in a stable high-risk population.
BACKGROUND Past investigations regarding the utility of high-sensitivity cardiac troponin I (cTnI) assays have been focused primarily on the acute coronary syndrome setting. We assessed whether such assays can predict future ischemic cardiovascular events in a stable high-risk population. METHODS We quantified serum cTnI using an investigational high-sensitivity assay (hs-cTnI IUO, Beckman Co...
متن کاملTo Deceive or Not to Deceive? Mimicry, Deception & Regimes in Tag-based Models
The tag-based computational model of cooperation described in Riolo et al. (2001) was extended in a series of experiments that examined the impact of tactical deceptive mimicry on cooperation, tolerance, and the emergence of regimes. Under all conditions, tactical deceptive mimicry increased the population cooperation above that of the base case. Allowing deceptive tolerance or deceptive propen...
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...
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ژورنال
عنوان ژورنال: Journal of the Intensive Care Society
سال: 2019
ISSN: 1751-1437
DOI: 10.1177/1751143719870095