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Cited by 174

The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.

Increasingly Sensitive Assays for Cardiac Troponins: A Review

de Lemos, James A.·2013·JAMA

Abstract

Cardiac troponins are the preferred biomarkers for diagnosis of myocardial infarction because of their high sensitivity and specificity for myocardial injury. However, acute and chronic conditions distinct from acute coronary syndromes (ACS) commonly lead to small elevations in troponin levels, with few data available regarding management of care for patients with such conditions. Recently developed highly sensitive troponin assays will likely lead to a substantial increase in the proportion of detectable troponin levels attributable to non-ACS conditions. Novel algorithms with highly sensitive assays, incorporating baseline troponin values and changes in values over 1 to 2 hours, may allow rapid exclusion of myocardial infarction and help to address specificity concerns but must be validated in appropriate target populations. Enhanced detection of very low troponin levels with highly sensitive assays has made feasible several potential new indications for troponin testing, including in the ambulatory setting, where assessment for low-level chronic myocardial injury may enhance risk stratification for heart failure and cardiac death.

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Metadata

Authors
de Lemos, J. A.
Venue
JAMA
Published
2013-06-05
Volume
309
Issue
21
Pages
2262
ISSN
  • 0002-9955 (ISSN-L)
  • 0098-7484
OpenAlex
W2080899999
Cited by
174
References
1
FWCI
18.22
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Increasingly Sensitive Assays for Cardiac Troponins: A Review. https://app.cochat.ai/papers/10.1001/jama.2013.5809
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de Lemos, J. A. (2013). Increasingly Sensitive Assays for Cardiac Troponins: A Review. JAMA. https://doi.org/10.1001/jama.2013.5809

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