The cohort was divided into 3 groups according to BNP and hsTnT levels: group A: BNP <550 pg/ml and hsTnT <15 ng/l; group B: BNP ≥550 pg/ml or hsTnT ≥15 ng/l; and group C: BNP ≥550 pg/ml and hsTnT ≥15 ng/l. The primary endpoint was all-cause mortality.
2013-03-29
Previous studies indicate that the introduction of high-sensitivity troponin T (HsTnT) as a diagnostic tool for chest pain patients in the emergency department (ED) creates a high rate of false-positive tests. In the present study, we aimed to evaluate if the diagnostic performance of HsTnT for acute coronary syndrome (ACS) up to 3–4 h after presentation in elderly patients can be Results: Of 1,984 patients, follow-up hypoglycemia was absent in 1,026 (52%) patients, mild in 875 (44%), and severe in 83 (4%), and occurred less than weekly in 561 (28%) and greater than or equal to weekly in 397 (20%). hsTnT levels were associated with hypoglycemia: a median of 11.4 ng/l (interquartile range [IQR]: 8.1 to 17.3 ng/l) for none, 12.5 ng/l (IQR: 8.3 to 19.3 ng/l) for mild, and 13.7 ng/l (IQR: 9.9 to 24.9 ng/l) for severe hypoglycemia (p = 0.0001); and 12.5 ng/l (IQR: 8.3 to 2021-03-22 · In Cox regression models, hsTnT levels were strongly associated with the risk of in-hospital mortality, even after adjustment for age, sex, previous history of CVD, creatinine levels (Table 2 and The median (interquartile ranges) high sensitive cardiac troponin T (hsTnT) levels on admission, at discharge, and changes in hsTnT levels (net) were 0.038 (0.026 to 0.065), 0.032 (0.021 to 0.049), and -0.004 (-0.017 to 0.002) ng/ml, respectively. The percent change of hsTnT was -12.0 (-39.8 to 7.4) %. HsTnT levels were elevated in 58 of 347 patients (17%). Patients with elevated hsTnT were older than those with normal values (mean difference = 10.7, 95% CI = 6.5 to 14.8) and more male (64%) than female patients (36%; OR = 1.7, 95% CI = 0.96 to 3.1) had elevated hsTnT levels. While high levels of cardiac troponin define myocardial injury, moderate levels (ie, above the limit of quantitation, but below the 99th percentile URL) of cardiac troponin are associated with CVD risk.
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In this cohort of patients, hsTnT was measured during the first 3 days of surgery. 2017-08-01 · Median [range] of peak hsTnT was 241 [99–566], 64 [50–136], 353 [307–902], 115 [112–275], and 918 [604–1166] ng/L, respectively. Operations with the lowest peak hsTnT values peaked earliest (four hours) while those with highest values peaked latest (eight hours). Median hsTnT levels were significantly different between patients with normal and abnormal SPECT-MPI (9.41 pg/ml [interquartile range (IQR): 5.73 to 19.20 pg/ml] vs. 4.89 pg/ml [IQR: 2.34 to 7.68 pg/ml], p = 0.001).
High Sensitivity Troponin T (hs-TnT) levels exceeding the gender-specific 99th percentile upper reference limit (males >22 ng/L, females >14 ng/L) may indicate a recent acute myocardial infarction however hs-TnT results should always be assessed in conjunction with the patient’s medical history, clinical examination, symptoms of cardiac ischemia, electrocardiogram results, and/or other cardiovascular disease (CVD) diagnostic findings. The newest high sensitive 5th generation cardiac TnT assay (hsTnT) detects an elevation in TnT levels within 1 hour of the onset of myocardial infarction.1 It also measures low levels of TnT that were undetectable in prior assay generations, in subjects that do not have myocardial infarction. The new hsTnT assay is reported to be able to The upper reference level for the hsTnT assay, defined as the 99th percentile, was established as 19 ng/L in a separate healthy US cohort.
2017-04-01 · Elevated hsTnT levels compared to normal levels predicted death from CVD in type 2 diabetes patients with stable CVD (Everett et al., 2015). In addition, detectable, but normal, levels of hsTnT have been associated with CVD events and CVD mortality in women with diabetes ( Everett et al., 2011 ).
For a baseline hsTnT (i.e. no troponin testing in the past 12 hours): For a follow-up hsTnT (i.e. troponin testing was performed in the past 12 hours), the following generic comment will be added: Background: High-sensitive cardiac troponin (hsTn) levels can be elevated due to non-pathological events such as strenuous exercise.
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Troponin levels in the blood are normally very low and increase when the heart becomes damaged. Very high levels usually indicate that a person has recently had a heart attack. However, a number Results: Of 1,984 patients, follow-up hypoglycemia was absent in 1,026 (52%) patients, mild in 875 (44%), and severe in 83 (4%), and occurred less than weekly in 561 (28%) and greater than or equal to weekly in 397 (20%). hsTnT levels were associated with hypoglycemia: a median of 11.4 ng/l (interquartile range [IQR]: 8.1 to 17.3 ng/l) for none, 12.5 ng/l (IQR: 8.3 to 19.3 ng/l) for mild, and 13.7 ng/l (IQR: 9.9 to 24.9 ng/l) for severe hypoglycemia (p = 0.0001); and 12.5 ng/l (IQR: 8.3 to HsTnT levels were elevated in 58 of 347 patients (17%). Patients with elevated hsTnT were older than those with normal values (mean difference = 10.7, 95% CI = 6.5 to 14.8) and more male (64%) than female patients (36%; OR = 1.7, 95% CI = 0.96 to 3.1) had elevated hsTnT levels.
2012-11-01 · The recently appeared high-sensitivity immunoassay to measure troponin T (hsTnT) has not yet been widely studied in the transplant population.
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HCY and the presence of detectable hsTnT. The levels of hsTnT in the high HCY group were higher than that in the normal HCY group (P<0.001) (Figure 1). Figure 1. High Sensitivity Troponin T (hs-TnT) levels exceeding the gender-specific 99th percentile upper reference limit (males >22 ng/L, females >14 ng/L) may indicate a recent acute myocardial infarction however hs-TnT results should always be assessed in conjunction with the patient’s medical history, clinical examination, symptoms of cardiac ischemia, electrocardiogram results, and/or other cardiovascular disease (CVD) diagnostic findings.
The mean age was 68.3 years in the normal hsTnT group and 69.7 years in the elevated hsTnT group. High Sensitivity Troponin T (hs-TnT) levels exceeding the gender-specific 99th percentile upper reference limit (males >22 ng/L, females >14 ng/L) may indicate a recent acute myocardial infarction however hs-TnT results should always be assessed in conjunction with the patient’s medical history, clinical examination, symptoms of cardiac ischemia, electrocardiogram results, and/or other cardiovascular disease (CVD) diagnostic findings. The newest high sensitive 5th generation cardiac TnT assay (hsTnT) detects an elevation in TnT levels within 1 hour of the onset of myocardial infarction.1 It also measures low levels of TnT that were undetectable in prior assay generations, in subjects that do not have myocardial infarction. The new hsTnT assay is reported to be able to
The upper reference level for the hsTnT assay, defined as the 99th percentile, was established as 19 ng/L in a separate healthy US cohort.
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2018-10-09 · Levels of hsTnT at 1-year follow-up were significantly higher (p < 0.0001) among patients who had hypoglycemia events during the first year of follow-up : the median 1-year hsTnT levels were 11.4 ng/l (interquartile range [IQR]: 8.1 to 17.3 ng/l) for patients without follow-up hypoglycemia, 12.5 ng/l (IQR: 8.3 to 19.3 ng/l) for patients with mild hypoglycemia, and 13.7 ng/l (IQR: 9.9 to 24.9
We also tested whether the Valve Aca-demic Research Consortium-2 (VARC- II) cutoff for myocardial damage (hsTNT peak The hsTnT level was significantly reduced in both groups. Interestingly, the hsTnT change was significantly greater in ischaemic HF than non‐ischaemic HF group (−42% vs.
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Mar 22, 2021 In Cox regression models, hsTnT levels were strongly associated with the risk of in-hospital mortality, even after adjustment for age, sex,
The hsTnT method used was Roche high sensitivity troponin T assay and the copeptin method used was BRAHMS copeptin kryptor assay, both previously described. 14 Undetectable hsTnT was defined as values <5 ng/L, which is the limit of detection (LOD) of the current assay; detectable levels were defined as hsTnT ≥5 ng/L. hsTnT values between 5 and 14 ng/L were considered to be in the normal range. 2013-01-15 · HsTnT levels had good discriminatory ability for prediction of abnormal SPECT-MPI (area under the curve: 0.739, 95% confidence interval: 0.609 to 0.868). Both reversible myocardial ischemia 2017-04-05 · Background High-sensitive cardiac troponin T (hsTnT) is a sensitive biomarker of myocardial damage and predictor of acute decompensated heart failure (ADHF). However, there is little information on changes over time in hsTnT level during ADHF management. The aim of this prospective study was to evaluate changes in hsTnT levels between admission and at discharge in patients with ADHF, and All the 14 patients with a low sPESI had positive hsTnT levels and 13 out of them had positive cTnT levels.
Aug 1, 2019 Conclusion: In preterm infants, hsTnT and NT-proBNP levels are significantly higher in patients who have a PDA that is significant as represented
Among the included patients, 9143 patients (62.8%) were male, 1464 (10.1%) had a history of heart failure and the mean age was 63.9 years. hsTNT level (P=.001), elevated Log ES (P=.03) as well as acute kidney injury (P<.001) and chronic obstructive pulmonary disease (COPD) (P=.039) emerged as independent prognostic parameters for adverse outcome. We also tested whether the Valve Aca-demic Research Consortium-2 (VARC- II) cutoff for myocardial damage (hsTNT peak 2020-11-01 · These patients were stratified based on baseline HsTnT levels into four groups: 1) ≤14 ng/L; 2) 15–29 ng/L; 3) 30–49 ng/L; and 4) ≥50 ng/L. Additional cut-point levels of 30 ng/L and 50 ng/L for HsTnT were used as these approximate the levels of 0.01 μg/L and 0.03 μg/L respectively, the fourth generation cardiac troponin T assay [22,23]. A single high-sensitivity troponin (hsTnT) level <6 ng/L was associated with a markedly decreased risk of acute myocardial infarction (AMI), while serial levels at ≤19 ng/L identified patients at <1% risk of 30-day adverse cardiac events, a recent study found.
no troponin testing in the past 12 hours): For a follow-up hsTnT (i.e. troponin testing was performed in the past 12 hours), the following generic comment will be added: Background: High-sensitive cardiac troponin (hsTn) levels can be elevated due to non-pathological events such as strenuous exercise. However, the effect of statins on circulating hsTnT levels with moderate exercise is uncertain.