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Depends on the purpose of the assay

 

For rule out you need a very sensitive assay - this works (we are
running a trial)

 

For rule in it does not matter

 

With best wishes

 

 

 

 

Paul Collinson

Consultant Chemical Pathologist

St George's Hospital 

Blackshaw Road 

London SW17 0QT

0208 725 5934

sec 0208 725 5923

________________________________

From: Clinical biochemistry discussion list
[mailto:[log in to unmask]] On Behalf Of SERGEANT Chris
(RF4) BHR Hospitals
Sent: 06 October 2008 10:52
To: [log in to unmask]
Subject: POC Troponin

 

Two queries today! 

We have recently changed to a more sensitive Troponin I assay within the
laboratory but there has been a request to look at offering a point of
care Troponin assay within the emergency department. We have been
pointing out the potentail pitfalls of having two differenet assays but
would like to gather further evidence for and against.

I recognise that this is a similar question to one posed recently but
what are the experiences ( positive and negative) of labs and clinicians
who have been running two  different troponin assays (be it two troponin
I assays or a troponin I / Troponin T combination) ?

Many thanks 

Chris 

------------------------------------------------ 
Chris Sergeant 
Principal Biochemist 
Clinical Biochemistry 
BHR NHS Trust 
Ext. 8318 
Direct: 0208 970 8318 
------------------------------------------------ 

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