[Clinical interpretation of high sensitivity troponin T]

Med Clin (Barc). 2015 Sep 21;145(6):258-63. doi: 10.1016/j.medcli.2014.11.004. Epub 2015 Jan 23.
[Article in Spanish]

Abstract

Determination of cardiac troponin (cTn) is necessary for the diagnosis of acute myocardial infarction without ST segment elevation. However Tnc can be released in other clinical situations. The development of high-sensitive cTn T assays (hs-cTnT) improves the management of patients with suspected acute coronary syndrome. Here, we provide an overview of the diverse causes of hs-cTnT elevation and recommend strategies for the clinical interpretation of the test result.

Keywords: Acute coronary syndrome; Acute myocardial infarction without ST elevation; Chest pain; Dolor torácico; High sensitivity cardiac troponin T; Infarto de miocardio sin elevación del segmento ST; Síndrome coronario agudo; Troponina T cardíaca de elevada sensibilidad.

Publication types

  • English Abstract
  • Review

MeSH terms

  • Acute Coronary Syndrome / blood
  • Acute Coronary Syndrome / complications
  • Acute Coronary Syndrome / diagnosis*
  • Biomarkers / blood
  • Chest Pain / etiology*
  • Diagnosis, Differential
  • Electrocardiography
  • Humans
  • Myocardial Infarction / blood
  • Myocardial Infarction / complications
  • Myocardial Infarction / diagnosis*
  • Troponin T / blood*

Substances

  • Biomarkers
  • Troponin T