Patient no 34
A 50 years old male was admitted in a hospital with retrosternal chest pain of 6 hours duration.
His body temperature, pulse rate, and blood pressure were 38.2 °C, 115 beats/min, and 80/40
mmHg, respectively. Electrocardiography was suggestive of Acute Coronary Syndrome.
a. What advise you will give regarding Cardiac Troponin I Assay?
b. Name a more advanced technical version of Cardiac Troponin I that can be used in this
patient for better clinical results ?
a. Repeat Troponin I after 6 hours to document rise and fall.
b. Highly sensitive Troponin I (hs Troponin I).
Ref No 1
Early Diagnosis of Myocardial Infarction with Sensitive Cardiac
N Engl J Med 2009;361:858-67.