In message <[log in to unmask]>, Eric Kilpatrick
<[log in to unmask]> writes
> We are coming under increasing pressure to offer CK in addition to
> troponin T in assessing all types of chest pain. At a recent
> meeting in Blackpool our cardiologists felt exposed that they were
> the only hospital who did TnTs without also CKs. We recommend only
> using TnT unless it is a barn door infarct and a CK is wanted to
> assess infarct size (we also make exceptions for other conditions
> like renal failure).
>
> Were our heart docs correct in saying most other labs also
> routinely measure CK in addition troponin or is there largely a
> 'troponin only' policy elsewhere?
>
> Eric
>
> Dr. Eric S. Kilpatrick
> Consultant in Chemical Pathology
> Hull Royal Infirmary
> Anlaby Rd
> Hull HU3 2JZ
> Tel: 01482-607708
> Fax: 01482-607725
Troponin T at >12 (better still >24) h post admission is a better marker of
infarct size than CK.
The reason for CK is a timing marker viz the NACB/IFCC recomendations
We use CK and cTnT on admission and at 12h
--
Paul Collinson
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