Cardiac troponins in intensive care
- PMID: 16137382
- PMCID: PMC1269477
- DOI: 10.1186/cc3776
Cardiac troponins in intensive care
Abstract
The cardiac troponins are integral components of the myofibrillary apparatus and they regulate muscle contraction. The measurement of cardiac troponins has replaced other biomarkers for the specific detection of myocardial necrosis and for the diagnosis of myocardial infarction. The tissue specificity plus sensitivity of the measurement technology has meant that cardiac damage can be detected in circumstances other than conventional acute coronary syndromes. The ability to specifically detect cardiac damage as part of multiple organ failure in intensive care patients has been shown to provide prognostic information, but it is unclear whether this is a dependent or an independent marker of outcome.
Comment on
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The role of cardiac troponin I as a prognosticator in critically ill medical patients: a prospective observational cohort study.Crit Care. 2005 Aug;9(4):R390-5. doi: 10.1186/cc3731. Epub 2005 May 31. Crit Care. 2005. PMID: 16137352 Free PMC article.
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- Ohman EM, Armstrong PW, Christenson RH, Granger CB, Katus HA, Hamm CW, O'Hanesian MA, Wagner GS, Kleiman NS, Harrell FE, et al. Cardiac troponin T levels for risk stratification in acute myocardial ischemia. GUSTO IIA Investigators. N Engl J Med. 1996;335:1333–1341. doi: 10.1056/NEJM199610313351801. - DOI - PubMed
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