Elevated high-sensitivity cardiac troponin T serum concentration in subjects with spinal cord injury
Background - The biochemical analysis of high-sensitivity cardiac troponins (hs-cTn) from peripheral blood specimens has been established as biomarker for myocardial injury. Independently of myocardial injury, increased serum hs-cTn concentrations have been described in patients with myopathies. The...
Gespeichert in:
| Hauptverfasser: | , , |
|---|---|
| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
15 November 2023
|
| In: |
International journal of cardiology
Year: 2023, Jahrgang: 391, Pages: 1-6 |
| ISSN: | 1874-1754 |
| DOI: | 10.1016/j.ijcard.2023.131284 |
| Online-Zugang: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.ijcard.2023.131284 Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S0167527323011634 
|
| Verfasserangaben: | Björn Wagner, Norbert Weidner, Andreas Hug |
MARC
| LEADER | 00000caa a2200000 c 4500 | ||
|---|---|---|---|
| 001 | 1876821000 | ||
| 003 | DE-627 | ||
| 005 | 20240331080411.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231221s2023 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1016/j.ijcard.2023.131284 |2 doi | |
| 035 | |a (DE-627)1876821000 | ||
| 035 | |a (DE-599)KXP1876821000 | ||
| 035 | |a (OCoLC)1425208062 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rda | ||
| 041 | |a eng | ||
| 084 | |a 33 |2 sdnb | ||
| 100 | 1 | |a Wagner, Björn |e VerfasserIn |0 (DE-588)116961678X |0 (DE-627)1034718851 |0 (DE-576)512165327 |4 aut | |
| 245 | 1 | 0 | |a Elevated high-sensitivity cardiac troponin T serum concentration in subjects with spinal cord injury |c Björn Wagner, Norbert Weidner, Andreas Hug |
| 264 | 1 | |c 15 November 2023 | |
| 300 | |a 6 | ||
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Gesehen am 21.12.2023 | ||
| 520 | |a Background - The biochemical analysis of high-sensitivity cardiac troponins (hs-cTn) from peripheral blood specimens has been established as biomarker for myocardial injury. Independently of myocardial injury, increased serum hs-cTn concentrations have been described in patients with myopathies. The relevance and frequency of noncardiac hs-cTn elevations in spinal cord injury (SCI) is unknown. Our study aimed to 1) determine the frequency of increased hs-cTn concentrations of supposedly noncardiac origin above the 99th percentile (upper reference limit, URL) in an unselected SCI population and 2) compare the two protagonist analytes cTnT and cTnI with respect to these noncardiac elevations. - Methods - In this monocentric, cross-sectional study, we sampled blood from n = 30 SCI subjects without cardiac symptoms to test for hs-cTnT and hs-cTnI serum concentrations. - Results - 18/30 (60%) of SCI subjects showed increased hs-cTnT concentrations above the URL of 14 ng/l (p < 0.001). In 4 subjects (22.2%) concentrations were >50 ng/l. Moreover, 3 of these four subjects fulfilled the 6-h troponin dynamics criterion for acute myocardial injury in serial hs-cTnT testing. In contrast, no subject demonstrated increased hs-cTnI concentrations according to the URL of 40 ng/l. 6-h troponin dynamics were also unremarkable for hs-cTnI testing. - Conclusions - SCI subjects frequently have increased hs-cTnT concentrations without clinical and hs-cTnI evidence of myocardial injury. Clinicians must be aware of cTnT “skeletal muscle false-positives” in SCI, which applies to elevated baseline cTnT concentrations and troponin dynamics in serial measurements. In case of diagnostic uncertainty, simultaneous analysis of cTnI might be helpful. | ||
| 650 | 4 | |a Biomarkers | |
| 650 | 4 | |a Spinal cord injury | |
| 650 | 4 | |a Troponin | |
| 700 | 1 | |a Weidner, Norbert |e VerfasserIn |0 (DE-588)1035265907 |0 (DE-627)747116326 |0 (DE-576)176492577 |4 aut | |
| 700 | 1 | |a Hug, Andreas |d 1973- |e VerfasserIn |0 (DE-588)122749340 |0 (DE-627)706027450 |0 (DE-576)293405417 |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t International journal of cardiology |d Amsterdam [u.a.] : Elsevier Science, 1981 |g 391(2023), Artikel-ID 131284, Seite 1-6 |h Online-Ressource |w (DE-627)306659581 |w (DE-600)1500478-8 |w (DE-576)081986270 |x 1874-1754 |7 nnas |a Elevated high-sensitivity cardiac troponin T serum concentration in subjects with spinal cord injury |
| 773 | 1 | 8 | |g volume:391 |g year:2023 |g elocationid:131284 |g pages:1-6 |g extent:6 |a Elevated high-sensitivity cardiac troponin T serum concentration in subjects with spinal cord injury |
| 856 | 4 | 0 | |u https://doi.org/10.1016/j.ijcard.2023.131284 |x Verlag |x Resolving-System |z lizenzpflichtig |3 Volltext |
| 856 | 4 | 0 | |u https://www.sciencedirect.com/science/article/pii/S0167527323011634 |x Verlag |z lizenzpflichtig |3 Volltext |
| 951 | |a AR | ||
| 992 | |a 20231221 | ||
| 993 | |a Article | ||
| 994 | |a 2023 | ||
| 998 | |g 122749340 |a Hug, Andreas |m 122749340:Hug, Andreas |d 910000 |d 911460 |d 50000 |e 910000PH122749340 |e 911460PH122749340 |e 50000PH122749340 |k 0/910000/ |k 1/910000/911460/ |k 0/50000/ |p 3 |y j | ||
| 998 | |g 1035265907 |a Weidner, Norbert |m 1035265907:Weidner, Norbert |d 910000 |d 911460 |e 910000PW1035265907 |e 911460PW1035265907 |k 0/910000/ |k 1/910000/911460/ |p 2 | ||
| 998 | |g 116961678X |a Wagner, Björn |m 116961678X:Wagner, Björn |d 910000 |d 911460 |e 910000PW116961678X |e 911460PW116961678X |k 0/910000/ |k 1/910000/911460/ |p 1 |x j | ||
| 999 | |a KXP-PPN1876821000 |e 4442737975 | ||
| BIB | |a Y | ||
| SER | |a journal | ||
| JSO | |a {"language":["eng"],"name":{"displayForm":["Björn Wagner, Norbert Weidner, Andreas Hug"]},"recId":"1876821000","person":[{"family":"Wagner","role":"aut","display":"Wagner, Björn","given":"Björn"},{"family":"Weidner","role":"aut","display":"Weidner, Norbert","given":"Norbert"},{"given":"Andreas","display":"Hug, Andreas","role":"aut","family":"Hug"}],"note":["Gesehen am 21.12.2023"],"title":[{"title":"Elevated high-sensitivity cardiac troponin T serum concentration in subjects with spinal cord injury","title_sort":"Elevated high-sensitivity cardiac troponin T serum concentration in subjects with spinal cord injury"}],"type":{"bibl":"article-journal","media":"Online-Ressource"},"id":{"eki":["1876821000"],"doi":["10.1016/j.ijcard.2023.131284"]},"physDesc":[{"extent":"6 S."}],"relHost":[{"disp":"Elevated high-sensitivity cardiac troponin T serum concentration in subjects with spinal cord injuryInternational journal of cardiology","type":{"media":"Online-Ressource","bibl":"periodical"},"pubHistory":["1.1981 -"],"note":["Gesehen am 13.02.20","Ungezählte Beil.: Supplement"],"language":["eng"],"part":{"volume":"391","year":"2023","text":"391(2023), Artikel-ID 131284, Seite 1-6","pages":"1-6","extent":"6"},"origin":[{"publisherPlace":"Amsterdam [u.a.]","dateIssuedKey":"1981","dateIssuedDisp":"1981-","publisher":"Elsevier Science"}],"title":[{"title_sort":"International journal of cardiology","title":"International journal of cardiology"}],"id":{"eki":["306659581"],"issn":["1874-1754"],"zdb":["1500478-8"]},"physDesc":[{"extent":"Online-Ressource"}],"recId":"306659581"}],"origin":[{"dateIssuedDisp":"15 November 2023","dateIssuedKey":"2023"}]} | ||
| SRT | |a WAGNERBJOEELEVATEDHI1520 | ||