Troponin Testing for Clinicians

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• 作者：John E. Brush Jr. ; MD^a ; ^{jebrush@me.com" class="auth_mail" title="E-mail the corresponding author} ; Sanjay Kaul ; MD^b ; Harlan M. Krumholz ; MD ; SM^c
• 关键词：acute coronary syndrome ; acute myocardial infarction ; clinical decision making
• 刊名：Journal of the American College of Cardiology
• 出版年：2016
• 出版时间：29 November 2016
• 年：2016
• 卷：68
• 期：21
• 页码：2365-2375
• 全文大小：1417 K

文摘

The analytical performance of troponin assays has improved markedly in the last 2 decades. The variety of assays, their evolution over time, and their critical importance in influencing care, mandates the need for skills in their use. There are 3 critical elements necessary for optimal use of troponin testing in clinical care, as follows: 1) the analytical performance of the assay; 2) the clinical sensitivity and specificity of the test result; and 3) the clinical reasoning for ordering and the proper clinical context for interpreting the test result. This paper provides further explanation that will assist clinicians in their clinical decision making and interpretation of troponin test results. Schematic visual explanations are provided to help clinicians develop a more intuitive understanding of troponin testing.