Cardiac Troponin Thresholds and Kinetics to Differentiate Myocardial Injury and Myocardial Infarction
Author(s) -
Ryan Wereski,
Dorien M. Kimenai,
Caelan Taggart,
Dimitrios Doudesis,
Kuan Ken Lee,
Matthew T.H. Lowry,
Anda Bularga,
David J. Lowe,
Takeshi Fujisawa,
Fred S. Apple,
Paul Collinson,
Atul Anand,
Andrew R. Chapman,
Nicholas L. Mills
Publication year - 2021
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/circulationaha.121.054302
Subject(s) - medicine , myocardial infarction , cardiology , troponin , troponin t , infarction , troponin i , myocardial infarction diagnosis , acute coronary syndrome
Although the 99th percentile is the recommended diagnostic threshold for myocardial infarction, some guidelines also advocate the use of higher troponin thresholds to rule in myocardial infarction at presentation. It is unclear whether the magnitude or change in troponin concentration can differentiate causes of myocardial injury and infarction in practice.
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