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  • Eggers, Kai M.,1962-Uppsala universitet,Institutionen för medicinska vetenskaper,Uppsala kliniska forskningscentrum (UCR) (författare)

Diagnostic and prognostic performance of the ratio between high-sensitivity cardiac troponin I and troponin T in patients with chest pain

  • Artikel/kapitelEngelska2022

Förlag, utgivningsår, omfång ...

  • 2022-11-01
  • Public Library of Science (PLoS),2022
  • electronicrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:uu-489749
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-489749URI
  • https://doi.org/10.1371/journal.pone.0276645DOI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • Background Elevations of high-sensitivity cardiac troponin (hs-cTn) concentrations not related to type 1 myocardial infarction are common in chest pain patients presenting to emergency departments. The discrimination of these patients from those with type 1 myocardial infarction (MI) is challenging and resource-consuming. We aimed to investigate whether the hs-cTn I/T ratio might provide diagnostic and prognostic increment in this context.Methods We calculated the hs-cTn I/T ratio in 888 chest pain patients having hs-cTnI (Abbott Laboratories) or hs-cTnT (Roche Diagnostics) concentrations above the respective 99(th) percentile at 2 hours from presentation. All patients were followed for one year regarding mortality.Results The median hs-cTn I/T ratio was 3.45 (25(th), 75(th) percentiles 1.80-6.59) in type 1 MI patients (n = 408 (sic) 46.0%]), 1.18 (0.81-1.90) in type 2 MI patients (n = 56 (sic) 6.3%]) and 0.67 (0.39-1.12) in patients without MI. The hs-cTn I/T ratio provided good discrimination of type 1 MI from no type 1 MI (area under the receiver-operator characteristic curve 0.89 (sic) 95% confidence interval 0.86-0.91]), of type 1 MI from type 2 MI (area under the curve 0.81 (sic) 95% confidence interval 0.74-0.87]), and was associated with type 1 MI in adjusted analyses. The hs-cTn I/T ratio provided no consistent prognostic value.Conclusions The hs-cTn I/T ratio appears to be useful for early diagnosis of type 1 MI and its discrimination from type 2 MI in chest pain patients presenting with elevated hs-cTn. Differences in hs-cTn I/T ratio values may reflect variations in hs-cTn release mechanisms in response to different types of myocardial injury.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Hammarsten, OlaDepartment of Clinical Chemistry, Sahlgrenska University Hopsital, Göteborg, Sweden (författare)
  • Aldous, Sally J.Department of Cardiology, Christchurch Hospital, Christchurch, New Zealand (författare)
  • Cullen, LouiseEmergency Department, Royal Brisbane and Women’s Hospital, Brisbane, Australia (författare)
  • Greenslade, Jaimi H.Emergency Department, Royal Brisbane and Women’s Hospital, Brisbane, Australia (författare)
  • Lindahl, Bertil,1957-Uppsala universitet,Institutionen för medicinska vetenskaper,Uppsala kliniska forskningscentrum (UCR)(Swepub:uu)belin227 (författare)
  • Parsonage, William A.Department of Cardiology, Royal Brisbane and Women’s Hospital, Brisbane, Australia (författare)
  • Pemberton, Christopher J.Christchurch Heart Institute, Department of Medicine, University of Ontago, Christchurch, New Zealand (författare)
  • Pickering, John W.Christchurch Heart Institute, Department of Medicine, University of Ontago, Christchurch, New Zealand, Emergency Department, Christchurch Hospital, Christchurch, New Zealand (författare)
  • Richards, A. MarkChristchurch Heart Institute, Department of Medicine, University of Ontago, Christchurch, New Zealand, Cardiovascular Research Institute, National University of Singapore, Singapore, Singapore (författare)
  • Troughton, Richard W.Christchurch Heart Institute, Department of Medicine, University of Ontago, Christchurch, New Zealand (författare)
  • Than, Martin P.Emergency Department, Christchurch Hospital, Christchurch, New Zealand (författare)
  • Uppsala universitetInstitutionen för medicinska vetenskaper (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:PLOS ONE: Public Library of Science (PLoS)17:111932-6203

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  • PLOS ONE (Sök värdpublikationen i LIBRIS)

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