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Inicio Medicina Clínica (English Edition) Clinical interpretation of high sensitivity troponin T
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Vol. 145. Issue 6.
Pages 258-263 (September 2015)
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Vol. 145. Issue 6.
Pages 258-263 (September 2015)
Review
Clinical interpretation of high sensitivity troponin T
Interpretación clínica de la determinación de troponina T de elevada sensibilidad
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Aitor Alquézar Arbéa,
Corresponding author
aalquezar@santpau.cat

Corresponding author.
, Miguel Santaló Bela, Alessandro Sionisb
a Servicio de Urgencias, Hospital de Sant Pau, Barcelona, Spain
b Unidad Coronaria, Hospital de Sant Pau, Barcelona, Spain
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Table 1. Studies that showed the best diagnostic yield of the absolute delta value.
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:
Chest pain
Acute coronary syndrome
Acute myocardial infarction without ST elevation
High sensitivity cardiac troponin T
Resumen

La determinación de troponina cardíaca (Tnc) es necesaria para el diagnóstico del infarto de miocardio sin elevación del segmento ST, pero existen otras situaciones clínicas donde se observan valores aumentados. El desarrollo de los nuevos inmunoanálisis para determinar Tnc T, denominados de elevada sensibilidad (TnTc-es), han supuesto un avance en el tratamiento de los pacientes con sospecha de síndrome coronario agudo. En este trabajo se revisan brevemente las diferentes causas de elevación de TnTc-es, así como los factores determinantes para su correcta interpretación, enfatizando en el contexto clínico del paciente.

Palabras clave:
Dolor torácico
Síndrome coronario agudo
Infarto de miocardio sin elevación del segmento ST
Troponina T cardíaca de elevada sensibilidad

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