Why the study?
Does serial monitoring of cardiac troponin I (cTnI) perform as well as CKMB mass in detecting early in-hospital myocardial reinfarction?
Population
9 myocardial infarction patients who experienced an in-hospital myocardial reinfarction within 4 days of the…
Comparison
Serial monitoring of cardiac troponin I mass vs Serial monitoring of creatine kinase MB mass
Design
Case_series
Follow-up
In-hospital (within 24-96 hours of initial presentation)
Authors
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Supports cTnI for reinfarction detection but should not yet replace CKMB; leaves open need for prospective validation.
Does serial monitoring of cardiac troponin I (cTnI) perform as well as CKMB mass in detecting early in-hospital myocardial reinfarction?
Cardiac troponin I monitoring alone demonstrates substantial secondary increases during early reinfarction, suggesting that routine CKMB testing is not clinically necessary when troponin monitoring is available.
MaryAnn M Murakami (2004) studied this question.
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