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January 30, 2020Clinical ChemistryOpen Access

Cardiac troponin I and T concentrations were associated with subclinical LV hypertrophy and dysfunction, with cTnI showing a stronger association with LV mass index than cTnT (P=0.035).

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Why the study?

Concentrations of cTnI and cTnT are associated with clinical cardiac outcomes but do not correlate closely in the general population, leading to the hypothesis that they reflect different CV phenotypes and risk factors.

Are concentrations of cTnI and cTnT associated with different cardiovascular risk factors and subclinical left ventricular hypertrophy or dysfunction in a general population without known cardiovascular disease?

Population

1236 women and 1157 men with no known CV disease

Comparison

Concentrations of cTnI vs cTnT

Design

Prospective observational study

Key result

Cardiac troponin I and T concentrations were associated with subclinical LV hypertrophy and dysfunction, with cTnI showing a stronger association with LV mass index than cTnT (P=0.035).

Authors

MLMagnus Nakrem LyngbakkenEAErika Nerdrum AagaardBKBrede Kvisvik

Discussion

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Member takes

Overview

May support preferential use of cTnI for subclinical LV assessment in primary prevention; hypothesis-generating and requires prospective validation.

Study Design

Type

Observational (n=2,393)

Structured PICO

Are concentrations of cTnI and cTnT associated with different cardiovascular risk factors and subclinical left ventricular hypertrophy or dysfunction in a general population without known cardiovascular disease?

P
Population
2,393 adults with no known cardiovascular disease who underwent extensive cardiovascular phenotyping including detailed echocardiography at baseline.
E
Exposure
Measurement of cardiac troponin I (cTnI) and T (cTnT) using last generation assays.
O
Outcome
Association with global longitudinal strain and left ventricular mass index (LVMI) assessed by echocardiography.surrogate

Main Result

p-value: p=0.035

In a general population without known cardiovascular disease, cardiac troponin I appears superior to troponin T in predicting subclinical left ventricular hypertrophy.

Cite This Study

Lyngbakken et al. (2020) conducted an observational in No known cardiovascular disease (n=2,393). Cardiac troponin I (cTnI) and T (cTnT) concentrations was evaluated on Left ventricular function and structure (global longitudinal strain and LV mass index) (p=0.035). Cardiac troponin I and T concentrations were associated with subclinical LV hypertrophy and dysfunction, with cTnI showing a stronger association with LV mass index than cTnT (P=0.035).

synapsesocial.com/papers/6a22084b1451ae9ed3e22d03https://doi.org/10.1093/clinchem/hvaa023
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