Prognostic Implications of Low Level Cardiac Troponin Elevation Using High-Sensitivity Cardiac Troponin T

Autor: Naveen Deenadayalu, Marc P. Bonaca, Marc S. Sabatine, David A. Morrow, Eugene Braunwald, Erin Bohula-May, L. Kristin Newby, Petr Jarolim, Jonathan Grinstein, Robert P. Giugliano, Michael J. Conrad
Rok vydání: 2015
Předmět:
Zdroj: Clinical Cardiology. 38:230-235
ISSN: 0160-9289
Popis: Background High-sensitivity cardiac troponin T (hsTnT) is used in many countries, but is not available in the United States. Prior evidence has been viewed as inconclusive as to whether low cardiac troponin T (cTnT) concentrations detected with hsTnT are prognostically meaningful compared with fourth-generation cTnT. Hypothesis The aim of this study was to assess the prognostic performance of low-level cTnT elevations using the hsTnT assay compared with the assay (fourth-generation) currently available in the United States. Methods We measured serum cTnT in 4160 patients with non–ST-elevation acute coronary syndrome using both the hsTnT and fourth-generation assays. Patients were stratified at the 99th percentile cut point for each assay. Results Patients with baseline hsTnT ≥14 ng/L (n = 3697) vs
Databáze: OpenAIRE