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The consensus agreement for high sensitivity troponin T seems
to be to measure on admission and 6-9hrs later with 1 result >14ng/L and a
>100% change in Troponin T supporting AMI.
Does anyone have experience of using the high sensitivity
troponin T assay on admission and at 3hrs to rule out or rule in AMI?
Alternatively does anyone use a point of care analyser to
measure a cardiac panel of Myoglobin, CKMB and Trop I at 90 mins to rule out MI
RAT-PAC trial:
http://heart.bmj.com/content/97/3/190.long
http://www.hta.ac.uk/fullmono/mon1523.pdf
Radiometer have approached us with their AQT90 flex, does any one have
experience of using their cardiac panel in this way?
Without wanting to start another string of e-mails regarding the
pitfalls of point of care in the emergency department, any advice on other
hospitals experiences would be appreciated.
Regards
Richard Harris
Principal Biochemist
Kettering General Hospital NHS Foundation Trust, Rothwell Road, Kettering, Northants NN16 8UZ Tel: 01536 492000 This e-mail may contain confidential information and/or copyright material and is intended for the use of the addressee only. Any unauthorised use may be unlawful. The contents of this e-mail may be subject to public disclosure under the NHS Code of Openness or the Freedom of Information Act 2000. Unless legally exempt, the confidentiality of the message and your reply cannot be guaranteed. If you receive this e-mail by mistake, please advise the sender immediately. Scanning of this message and addition of this footer is performed by Sophos E-mail Filter software in conjunction with virus detection software.