Key result
CK-MB elevation post-PCI correlates with adverse prognosis, while high-sensitivity troponin enables very early rule-out of enzymatic elevation to facilitate discharge timing.
High sensitivity troponin allows for early rule-out of post-PCI myocardial injury, potentially facilitating earlier discharge.
CK-MB elevation post-PCI correlates with procedural complications, diffuse atherosclerosis, and adverse long-term prognosis. Troponin elevation has an earlier pattern of rise than CK-MB and can be used as a surrogate. High sensitivity troponin can enable ruling out enzymatic elevation very early after PCI and facilitate discharge timing.
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Plitt et al. (2018) studied this question. CK-MB elevation post-PCI correlates with adverse prognosis, while high-sensitivity troponin enables very early rule-out of enzymatic elevation to facilitate discharge timing.
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