• Adv Med Sci · Mar 2019

    Review

    Cardiac troponins in chronic kidney disease patients with special emphasis on their importance in acute coronary syndrome.

    • Joanna Szczykowska, Tomasz Hryszko, and Beata Naumnik.
    • 1st Department of Nephrology and Transplantation with Dialysis Unit, Medical University of Bialystok, Bialystok, Poland. Electronic address: a.szczykowska@wp.pl.
    • Adv Med Sci. 2019 Mar 1; 64 (1): 131-136.

    AbstractTroponin measurement is one of crucial assessments facilitating diagnosis of acute coronary syndrome. Patients with chronic kidney disease are decimated by cardiovascular disease. Unfortunately, elevated concentration of serum troponin is commonly faced in clinical practice creating a challenge to rule out acute cardiac ischaemia in this vulnerable population. This review presents current knowlegde on analytical differences in troponin T and I measurements, their prognostic significance and their application in diagnosing acute coronary syndrome in chronic kidney disease patients. It also points out poorly known aspects and suggests directions for future research.Copyright © 2018 Medical University of Bialystok. Published by Elsevier B.V. All rights reserved.

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