Its not NICE guidance it's a diagnostic advisory committee report and I applies to hs assays only ________________________________ Professor Paul Collinson T: +44 (0)208 725 5934 sec (0)208 725 5923 Consultant Chemical Pathologist and Professor of Cardiovascular Biomarkers F: +44 (0)208 725 5868 Clinical Blood Sciences E: [log in to unmask]<mailto:[log in to unmask]> St. George's Healthcare NHS Trust W: www.stgeorges.nhs.uk<http://www.stgeorges.nhs.uk/> ________________________________ P Save Paper - Do you really need to print this e-mail? ________________________________ From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of Bradbury Wayne (RNL) North Cumbria University Hospitals Sent: 03 March 2015 13:30 To: [log in to unmask] Subject: Point of care Troponin T testing One of our A/E Consultants is keen to investigate using his blood gas analyser (Radiometer AQT90) for the early rule out of MI in the A/E dept. Radiometer have a Troponin T assay for this analyser but it is not a high sensitivity assay (lowest value with 10% CV is about 30 ng/L). He is proposing to use an admission sample and one collected 3 hours later in line with the latest NICE guideline, which is based on high sensitivity assays. I suspect this approach could produce false negatives as it is not a high sensitivity assay. I would be interested in hearing the experience of anybody who has investigated or is using the Radiometer assay - whether good or bad. Thanks, Wayne. Mr WH Bradbury BSc MSc FRCPath Consultant Biochemist / Head of Blood Sciences, North Cumbria University Hospitals NHS Trust, Cumberland Infirmary, CARLISLE, CA2 7HY. Tel: 01228 814521 Fax: 01228 814831 The NCUHT Pathology Handbook can be found here<http://www.ncuh.nhs.uk/for-gps/pathology/index.aspx> For general information on tests see Lab Tests Online<http://www.labtestsonline.org.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 Green Laboratories Work http://www.laboratorymedicine.nhs.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/ ________________________________ Disclaimer: This e-mail and any files transmitted with it are confidential. If you are not the intended recipient, any reading, printing, storage, disclosure, copying or any other action taken in respect of this e-mail is prohibited and may be unlawful. If you are not the intended recipient, please notify the sender immediately by using the reply function and then permanently delete what you have received. Incoming and outgoing e-mail messages are routinely monitored for compliance with the Department of Health's policy on the use of electronic communications. For more information on the Department of Health's e-mail policy click here http://www.doh.gov.uk/emaildisclaimer.htm ------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 Green Laboratories Work http://www.laboratorymedicine.nhs.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/