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Richard,

We actually use 0.05 ug/L as the cut off for detecting myocardial damage (not classical MI cut off) on the Advia Centaur TnI ultra assay. As myocardial damage can be of varying aetiology ischaemic & non-ischaemic, we leave it to the clinicians to decide if the myocardial damage is due to acute coronary ischaemia or due to some other causes. 

David's original statement is probably related to a recent NEQAS interpretative comment.

Best wishes

Mohammad
 




________________________________
From: Mainwaring-Burton Richard (RGZ) <[log in to unmask]>
To: [log in to unmask]
Sent: Monday, 1 December, 2008 15:34:36
Subject: Re: Troponin I - quoted cut-off value 0.10 ug/L


THAT IS WRONG !!!
0.1   is the M.I. cutoff for TnT and NOT TnI !
 
I suspect that the 0.1 value may be the lowest claimed detectable for TnI
 
Read ALL the small print, not just the box.
 
I never trust what it says on the box : I keep seeing "Open Other End " - and it never is !
with best wishes
Richard
Richard Mainwaring-Burton
Consultant Biochemist
Queen Mary's Hospital
Sidcup, Kent
020-8308-3084
-----Original Message-----
From: Mohammad Al-Jubouri[mailto:[log in to unmask]] 
Sent: 01 December 2008 15:05
To: [log in to unmask]
Subject: Re: Troponin I - quoted cut-off value 0.10 ug/L
 
I interpret it as any TnI value of 0.1 ug/L and above indicates myocardial damage, and any value < 0.1 ug/L does not indicate myocardial damage.
 
regards
 
Mohammad 
 
Dr. M A Al-Jubouri, MB ChB, MSc, FRCP Edin, FRCPath
Consultant Chemical Pathologist 
 
 

________________________________

From:David Burgess <[log in to unmask]>
To: [log in to unmask]
Sent: Monday, 1 December, 2008 14:58:32
Subject: Troponin I - quoted cut-off value 0.10 ug/L

Please - how do you interpret the phrase, "Troponin I was analysed on an 
Advia Centaur: quoted cut-off value 0.10 ug/L"
Regards, David.

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 ------ACB discussion List Information-------- This is an open discussion list for the academic and clinical community working in clinical biochemistry. Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content. ACB Web Site http://www.acb.org.uk List Archives http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List Instructions (How to leave etc.) http://www.jiscmail.ac.uk/ ------ACB discussion List Information-------- This is an open discussion list for the academic and clinical community working in clinical biochemistry. Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content. ACB Web Site http://www.acb.org.uk List Archives http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List Instructions (How to leave etc.)
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