[Experiences with determination of cardiac Troponin-I and CK-MB serum levels in acute coronary syndrome]

Abstract

The consideration of the correct diagnosis and prognosis in acute coronary syndrome seems to be a great challenge for cardiologists. Measuring of the serum cardiac Troponin (cTI) level may help solution of this problem. According to the authors the myocardial infarction has been revealed with a great sensitivity and specificity by the cTI level (100%). Authors found a higher level of cTI even after 72 hours of the onset of symptoms of myocardial infarction. After thrombolysis the wash out phenomen was more expressive compared with the values of CK-MB enzymes. A moderate but significant increase was observed of the cTI level in unstable angina. The measuring of cTI in acute coronary syndrome gives an important information to the correct diagnosis. The prognostic considerations of cTI level in unstable angina are interpreted by authors according to relevant data of literature.