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October 5, 2007Clinical ChemistryOpen Access

National Academy of Clinical Biochemistry Laboratory Medicine Practice Guidelines: Use of Cardiac Troponin and B-Type Natriuretic Peptide or N-Terminal proB-Type Natriuretic Peptide for Etiologies Other than Acute Coronary Syndromes and Heart Failure

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Population

Adult patients with etiologies other than acute coronary syndromes and heart failure, including chronic…

Design

Guideline

Authors

Alan H.B. Wu
Alan H.B. WuHeart Failure & Transplant
AJA S JaffeMayo ClinicRJRobert L. JesseFriedrich Schiller University Jena

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Overview

Adopt dynamic troponin criteria for AMI diagnosis in ESRD; extends evidence-based biomarker guidance to chronic kidney disease.

Structured PICO

P
Population
Adult patients with etiologies other than acute coronary syndromes and heart failure, including chronic renal failure/end-stage renal disease, pulmonary embolism, critical care, noncardiac surgery, percutaneous coronary intervention, and cardiac surgery.
I
Intervention
Measurement of cardiac biomarkers (cardiac troponin, B-type natriuretic peptide, and N-terminal proB-type natriuretic peptide)

These guidelines establish evidence-based recommendations for the clinical use and interpretation of cardiac troponin and natriuretic peptides in conditions outside of acute coronary syndromes and heart failure, such as chronic renal failure.

Cite This Study

Wu et al. (2007) studied this question.

synapsesocial.com/papers/6a7d05ce3575152c8237cbfbhttps://doi.org/10.1373/clinchem.2007.095679

Topics

Pulmonary embolism
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Prognostic Value of Preoperative Cardiac Troponin I in Patients Undergoing Emergency Coronary Artery Bypass Surgery With Non–ST-Elevation or ST-Elevation Acute Coronary Syndromes2006 · 86 citations
  2. 2Baseline troponin level: key to understanding the importance of post-PCI troponin elevations2006 · 146 citations
  3. 3Increased cardiac troponin I on admission predicts in-hospital mortality in acute pulmonary embolism2004 · 86 citations
  4. 4Troponin T Levels in Patients with Acute Coronary Syndromes, with or without Renal Dysfunction2002 · 346 citations
  5. 5Independent Prognostic Value of Cardiac Troponin T in Patients With Confirmed Pulmonary Embolism2000 · 500 citations