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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1996-8-13
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pubmed:abstractText |
Immunoenzymatic assay (IEMA) of human cardiac Troponin I (TnI c) was used in patients admitted to the coronary care unit with acute myocardial infarction (AMI). TnI c was detected in all patients with AMI. The detection of TnI c was earlier after the onset of pain (4.5 +/- 2.3 hours) than that of CKMB activity (6.3 +/- 3.6 hours), p = 0.003. The kinetics of TnI c are usually monophasic and parallel to that of CKMB activity. The peak value occurs 12.2 +/- 4.6 hours and 15.8 +/- 9.0 hours after the onset of pain in patients treated by thrombolysis. The TnI c disappears from the plasma between 5 and 9 days after the onset of pain, later than CKMB activity (p = 0.0001). In 49 patients admitted for AMI treated by thrombolysis, the comparative sensitivities of TnI c (threshold: 0.1 ng/ml) and of CKMB activity (threshold: 15 IU/l; CK > or = 100 Ul/l) were, at the first sampling on admission, 61% and 22% respectively (p = 0.0002) (average interval from onset of pain to first blood sampling: 3.4 +/- 1.3 hours). TnI c was not detected in the plasma of 145 normal subjects nor in any of the 6 patients with severe muscular trauma or rhabdomyolosis (specificity: 100%). This IEMA is a specific and a sensitive method of diagnosing acute and subacute myocardial infarction. It is ideal for the detection of myocardial necrosis in complex clinical situations when the usual enzymatic markers may be ineffective.
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pubmed:language |
fre
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Antibodies, Monoclonal,
http://linkedlifedata.com/resource/pubmed/chemical/Biological Markers,
http://linkedlifedata.com/resource/pubmed/chemical/Creatine Kinase,
http://linkedlifedata.com/resource/pubmed/chemical/Isoenzymes,
http://linkedlifedata.com/resource/pubmed/chemical/Myoglobin,
http://linkedlifedata.com/resource/pubmed/chemical/Myosins,
http://linkedlifedata.com/resource/pubmed/chemical/Troponin,
http://linkedlifedata.com/resource/pubmed/chemical/Troponin I
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pubmed:status |
MEDLINE
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pubmed:month |
Jan
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pubmed:issn |
0003-9683
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
89
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
63-8
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pubmed:dateRevised |
2009-11-19
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pubmed:meshHeading |
pubmed-meshheading:8678740-Adult,
pubmed-meshheading:8678740-Aged,
pubmed-meshheading:8678740-Aged, 80 and over,
pubmed-meshheading:8678740-Antibodies, Monoclonal,
pubmed-meshheading:8678740-Biological Markers,
pubmed-meshheading:8678740-Creatine Kinase,
pubmed-meshheading:8678740-Female,
pubmed-meshheading:8678740-Humans,
pubmed-meshheading:8678740-Immunoenzyme Techniques,
pubmed-meshheading:8678740-Isoenzymes,
pubmed-meshheading:8678740-Male,
pubmed-meshheading:8678740-Middle Aged,
pubmed-meshheading:8678740-Myocardial Infarction,
pubmed-meshheading:8678740-Myoglobin,
pubmed-meshheading:8678740-Myosins,
pubmed-meshheading:8678740-Sensitivity and Specificity,
pubmed-meshheading:8678740-Troponin,
pubmed-meshheading:8678740-Troponin I
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pubmed:year |
1996
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pubmed:articleTitle |
[Value of human cardiac troponin I determination in the diagnosis of acute myocardial infarction].
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pubmed:affiliation |
Service de cardiologie, ERIA Diagnostics Pasteur, Marnes-La-Coquette.
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pubmed:publicationType |
Journal Article,
Comparative Study,
English Abstract,
Multicenter Study
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