Dr Evangelos Giannitsis
Cardiologist, Medical Director of Chest Pain Unit, University Hospital of Heidelberg, Germany
 

Clinical Cases: hs-TnT in Patients with End Stage Renal Failure

17
hs-TnT in patients with End stage Renal failure

What is the diagnosis of this case?

Diagnosis

End stage renal failure

The patient had experienced non-specific symptoms during dialysis. The ECG showed signs of left ventricular hypertrophy, while the coronary angiogram revealed a corkscrew-like tortuosity of the left circumflex artery accompanied by chronic hypertension. Given the high clinical likelihood of CHD, careful assessment is required. Furthermore, since elevated cTnT-hs levels would be expected in these patients, serial measurements are needed. According to the recommendation published by the NACB8, based on the use of less sensitive cTn generations (e.g. cTnT Gen 4), an increase of more than 20 % for a repeat measurement after 6 – 9 hours is indicative of an acute event.22

Conclusion

There is no rise or fall in cTnT-hs values needed for AMI diagnosis.

 

References
  1. European Heart Journal (2011) 32, 404–411 doi:10.1093/eurheartj/ehq456

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