Use and misuse of cardiac troponins in clinical practice

被引：59

作者：

Gupta, Sachin ^{[1
]}

de Lemos, James A. ^{[1
]}

机构：

[1] SW Texas State Univ, Ctr Med, Dept Internal Med, Dallas, TX USA

来源：

PROGRESS IN CARDIOVASCULAR DISEASES | 2007年 / 50卷 / 02期

关键词：

D O I：

10.1016/j.pcad.2007.01.002

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Cardiac troponins are very sensitive and specific markers of myocardial injury. Elevated troponin levels in the setting of acute coronary syndrome are diagnostic of acute myocardial infarction and provide guidance to clinicians with regard to appropriate use of intensive medical and revascularization therapies. However, elevated troponin levels are commonly seen in several noncoronary ischemia presentations and create considerable confusion among clinicians in these settings. In this review article, we discuss the utility of troponins in various clinical settings and present a common sense" approach to interpreting troponin elevation outside the setting of acute coronary syndrome. © 2007 Elsevier Inc. All rights reserved."

引用

页码：151 / 165

页数：15

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