Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
alta sensibilit
16 dicembre 2010/10 gennaio 2011
31 gennaio 2011 Cesena
1 febbraio 2011 Rimini
7 febbraio 2011 Forl
1
I
professionisti
suggeriscono
cautela
4
Le Aziende di
diagnostici
sono partite
Le aziende
sanitarie sono
partite
7
10
11
12
14
AVR
15
16
17
18
rule out
19
rule in
20
Memento
21
Rimangono le
troponinosi
22
23
24
25
26
31
32
AMI
Patients with a good history for
AMI and Troponin T >100 ng/L can
be diagnosed with a single Tn result
A delta troponin >30% within
3 12 hours together with at least
one Tn hs supportive of AMI.
A stable troponin elevation (delta
less than 30%) is more likely in
other diagnoses.
35
36
37
38
40
8. Report Comments
It was suggested that
interpretative comments that
accompany hs-cTnT results
should be harmonised. Time
constraints did not allow
consensus to be reached
43
44
Laboratorians in Norway
have recommended not using the 99th
percentile as the cutoff for MI, but rather a
higher level of 0.03 g/L. This is to avoid
over-diagnosis of MI, a particular concern
in elderly patients, many of whom will have
normal values higher than 14 ng/L
circulating, explained Omland.
45
Of importance, a negative
sensitive troponin test will have
a high negative predictive
value, and may thus serve as
an exclusionary test early in the
diagnostic process.
46
49
50
Ecco la ns
proposta di
referto
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52
53
54
55
56
57
58
59
60