> >I have a certain sympathy for the cardiologists. We use Trop-T in our laboratory 24 hours per day, 7 days per week with 90% of results with TAT of <60minutes. If cardiologists are using this test as part of a discrimination of admission to hospital, prolonged stay in the ER or addmission to the CCU then they need it 24 hours per day. If the move to NPT and there are several articles about its use there appears to be no benefit which can surpass the value of a quantitative result which is necessary for the above and is not possible with NPT. What I would be interested in is who is going to pay for the NPT which will be very expensive. I would come up with a counter offer to the administration and the cardiologists for the quantiative assay with a reasonable TAT. You could swing it and gain more resourses for the lab and get the best done for the patient. > >Good luck > >Elizabeth Mac Namara >Dept of Diagnostic Medicine >Jewish General Hospital, Montreal, QC Canada > > >At 03:42 PM 11/19/99 +0000, you wrote: >>The cardiologists in this hospital have asked about Troponin-t at ward level >> using a meter.Reps from companies approach the cardiologists directly rather >> than go through the laboratory.We already do troponin-t by Roche methodology >> twice a day in week days and on Saturday mornings but unfortunately not the >> rest of the weekend largely due to the sensitivity of our on-call situation.Has >> anyone any views on troponin NPT and the most appropriate systems to use.I must >> say I am quite cautious about this but am unwilling to regect the idea out of >> hand and be branded a "Luddite " from day one...Explanation to non-English >>viewers if required. >> >> %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%