Current characteristics of methods for determining cardiac troponins and their diagnostic value: a mini-review

The expansion and discovery of new diagnostic possibilities for the use of many biomarkers of cardiovascular diseases (CVDs), including cardiospecific troponin isoforms (cTnI, cTnT), is due to improved laboratory methods for their determination. Throughout a long history of the creation and improvem...

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Autor principal: Chaulin, Aleksey
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021
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Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/32988
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id I10-R10article-32988
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-10
container_title_str Revistas de la UNC
language Español
format Artículo revista
topic hs-cTnI
hs-cTnT
immunochemical methods of determination
diagnostics
acute myocardial infarction
non-invasive diagnostics
hs-cTnI
hs-cTnT
métodos inmunoquímicos de determinación
diagnóstico
infarto agudo de miocardio
diagnóstico no invasivo
hs-cTnI
hs-cTnT
métodos imunoquímicos de determinação
diagnóstico
infarto agudo do miocárdio
diagnóstico não invasivo
não financiado
conflito de interesses-ausente
spellingShingle hs-cTnI
hs-cTnT
immunochemical methods of determination
diagnostics
acute myocardial infarction
non-invasive diagnostics
hs-cTnI
hs-cTnT
métodos inmunoquímicos de determinación
diagnóstico
infarto agudo de miocardio
diagnóstico no invasivo
hs-cTnI
hs-cTnT
métodos imunoquímicos de determinação
diagnóstico
infarto agudo do miocárdio
diagnóstico não invasivo
não financiado
conflito de interesses-ausente
Chaulin, Aleksey
Current characteristics of methods for determining cardiac troponins and their diagnostic value: a mini-review
topic_facet hs-cTnI
hs-cTnT
immunochemical methods of determination
diagnostics
acute myocardial infarction
non-invasive diagnostics
hs-cTnI
hs-cTnT
métodos inmunoquímicos de determinación
diagnóstico
infarto agudo de miocardio
diagnóstico no invasivo
hs-cTnI
hs-cTnT
métodos imunoquímicos de determinação
diagnóstico
infarto agudo do miocárdio
diagnóstico não invasivo
não financiado
conflito de interesses-ausente
author Chaulin, Aleksey
author_facet Chaulin, Aleksey
author_sort Chaulin, Aleksey
title Current characteristics of methods for determining cardiac troponins and their diagnostic value: a mini-review
title_short Current characteristics of methods for determining cardiac troponins and their diagnostic value: a mini-review
title_full Current characteristics of methods for determining cardiac troponins and their diagnostic value: a mini-review
title_fullStr Current characteristics of methods for determining cardiac troponins and their diagnostic value: a mini-review
title_full_unstemmed Current characteristics of methods for determining cardiac troponins and their diagnostic value: a mini-review
title_sort current characteristics of methods for determining cardiac troponins and their diagnostic value: a mini-review
description The expansion and discovery of new diagnostic possibilities for the use of many biomarkers of cardiovascular diseases (CVDs), including cardiospecific troponin isoforms (cTnI, cTnT), is due to improved laboratory methods for their determination. Throughout a long history of the creation and improvement of immunochemical methods for the determination of cTnI and cTnT, significant changes were observed in the concept of biology and its diagnostic value as CVD biomarkers. The obsolete methods of detection of cTnI, cTnT, named low sensitivity and moderate, were distinguished by a relatively low sensitivity, which led to the confirmation late in the diagnosis of acute myocardial infarction (AMI) and, therefore, such methods were gradually replaced by new methods of high and moderate sensitivity, such as definitions of methods, ultra-sensitive (hs-cTnI, hs-cTnT). With the introduction of hs-cTnI and hs-cTnT in clinical practice, the possibility of early diagnosis and exclusion of AMI through the evaluation of the kinetics of the concentration of hs-cTnI and hs-cTnT in the first hours (0-1 hour, 0-2 hours, 0-3 hours) from the moment the patient enters the emergency room. In addition, some of our ideas about the biology of cardiac troponins have changed, and promising new opportunities for their use in medicine have emerged. This manuscript analyzes the key analytical characteristics of hs-cTnI and hs-cTnT detection methods compared to moderately sensitive methods, and reports on new biological data and some new diagnostic possibilities for the use of hs-cTnI and hs-cTnT in modern clinical practice.
publisher Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2021
url https://revistas.unc.edu.ar/index.php/med/article/view/32988
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