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Letters |
1
Dept. of Pathol., Univ. of Mississippi Med. Center, 2500 N. State St., Jackson, MS 39216,
2
Dept. of Pathol., Hennepin County Medical Center, 701 Park Ave., Minneapolis, MN 55415.
a Author correspondence.
To the Editor:
Cardiac troponin I (cTnI) is both highly sensitive and specific for the detection of myocardial injury (1)(2), and cTnI now challenges creatine kinase MB (CK-MB) as the optimal marker for acute myocardial infarction (3)(4). The Stratus II batch analyzer (Dade International, Miami, FL) uses monoclonal anti-cTnI antibodies immobilized on a glass fiber support for the measurement of serum or plasma cTnI. During the course of clinical evaluations and implementation of cTnI testing on the Stratus II, we noted occasional falsely high results on serum specimens that were found to be either within the reference interval or below the detection limit upon reanalysis. It appeared that incomplete clotting of the specimen contributed to false-positive cTnI values. This letter describes our efforts to eliminate these analytical false-positive cTnI results.
Results for cTnI on 20 serum specimens (2.2%) from >900 patient
specimens tested over 3 months were challenged by clinicians as
References
Dade International, Miami, FL \.
a Author correspondence.
To the Editor:
The following articles in journals at HighWire Press have cited this article:
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C. Roongsritong, I. Warraich, and C. Bradley Common Causes of Troponin Elevations in the Absence of Acute Myocardial Infarction: Incidence and Clinical Significance Chest, May 1, 2004; 125(5): 1877 - 1884. [Abstract] [Full Text] [PDF] |
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P. Beyne, J.-P. Vigier, P. Bourgoin, and M. Vidaud Comparison of Single and Repeat Centrifugation of Blood Specimens Collected in BD Evacuated Blood Collection Tubes Containing a Clot Activator for Cardiac Troponin I Assay on the ACCESS Analyzer Clin. Chem., November 1, 2000; 46(11): 1869 - 1870. [Full Text] [PDF] |
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A. S. Jaffe, J. Ravkilde, R. Roberts, U. Naslund, F. S. Apple, M. Galvani, and H. Katus It's Time for a Change to a Troponin Standard Circulation, September 12, 2000; 102(11): 1216 - 1220. [Full Text] [PDF] |
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D. S. Ooi and A. A. House Cardiac troponin T in hemodialyzed patients Clin. Chem., July 1, 1998; 44(7): 1410 - 1416. [Abstract] [Full Text] [PDF] |
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