RT Journal Article
SR Electronic
T1 Using troponin T to diagnose acute coronary syndromes
JF Cleveland Clinic Journal of Medicine
JO Cleve Clin J Med
FD Cleveland Clinic
SP 843
OP 849
VO 67
IS 11
A1 McErlean, Ellen
A1 Van Lente, Frederick
A1 Nissen, Steven E.
YR 2000
UL http://www.ccjm.org/content/67/11/843.abstract
AB Elevated troponin T is a useful marker for acute myocardial infarction: it is more specific than is elevated creatine kinase MB isoenzyme, and it remains elevated for many days after creatine kinase levels have returned to normal, providing a useful indicator for late presentations. Nevertheless, creatine kinase MB still has many important roles, including providing estimates of infarct size and diagnosing acute myocardial infarction in patients with renal failure. Often, measuring both markers provides additional information. This article provides a diagnostic algorithm for using both markers.