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]

St. George's Healthcare NHS Trust

W: www.stgeorges.nhs.uk

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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

For general information on tests see Lab Tests Online

 

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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 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/