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AKUT MYOKARD İNFARKTÜSÜNÜN ERKEN TANISINDA TROPONİN-T'NİN TANISAL DEĞERİ

  • Erol Armağan
  • Gülay Turanoğlu
  • Halil İbrahim Çıkrıklar
  • Vedat Özcan
  • Veli Güler
  • Özgür Ocak

Eurasian J Emerg Med 2003;2(2):6-9

Diagnostic value of rapid cardiac Troponin-T (TnT) in diagnosis and differential diagnosis of patients with chest pain was compared with that of creatine kinase (CK), creatine kinase myocardial band(CK-MB).

60 patients with chest pain were included in the study and 40 patients without chest pain and normal ECG findings were included in the study as a control group.

Results of rapid cardiac TnT obtained within 15 minutes. CK and CK-MB measurements were resulted in 1 hour. Of 60 patients with chest pain, initial cardiac TnT tests were positive in 15 patients. in 3rd hour control tests, cardiac TnT tests was positive in 8 of patients. Thus, cardiac TnT was positive in a total number of 23 patients and negative in 37 patients.

In patients with negative TnT results, CK and CK-MB levels were normal, in 40 patients taken as a control group, both cardiac TnT and CK, CK-MB results were negative in all patients.

As a result, rapid cardiac TnT test, which can be performed at bedside and results within 15 minutes, usefull and reliable diagnostic metod.