About-Cardio
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We provide our users the most up-to-date and accurate information on the treatment and prevention of cardio pathologies in accordance with current American and European clinical guidelines.
The information provided on this website is for educational purposes only and should not be considered medical advice. Always consult a licensed physician for diagnosis and treatment.
High-Sensitivity Troponin (hs-Troponin)
Introduction
High-sensitivity troponin (hs-Troponin) is a biomarker used to detect heart muscle damage. It plays a crucial role in diagnosing acute coronary syndrome (ACS) and myocardial infarction (heart attack).
What is hs-Troponin?
hs-Troponin is a more sensitive version of traditional troponin tests. It can detect even very low levels of cardiac troponin in the blood, allowing early identification of heart damage.
Why is hs-Troponin Important?
- Early Diagnosis of Heart Attacks: It helps doctors detect heart attacks earlier.
- Risk Stratification: It allows the assessment of patients at risk for future heart problems.
- Differentiation of Cardiac vs. Non-Cardiac Causes: It helps distinguish whether chest pain is due to heart problems or other conditions.
Interpretation of hs-Troponin Levels
- Normal values: Very low or undetectable levels suggest no heart damage.
- Elevated values: High levels may indicate acute myocardial infarction, myocarditis, or other cardiac diseases.
- Serial Testing: hs-Troponin is often measured multiple times to detect trends – a rapid increase suggests an ongoing heart attack.
Clinical Use
- Emergency Room Evaluation: Used for patients presenting with chest pain.
- Cardiac Risk Assessment: Helps in predicting cardiovascular events in seemingly healthy individuals.
- Monitoring of Cardiac Conditions: Used for follow-up in patients with known heart disease.
Important Considerations
- High levels may also be seen in conditions like kidney disease, sepsis, and heart failure.
- Not all elevated readings mean a heart attack; clinical correlation is essential.
Conclusion
hs-Troponin is a valuable tool for early detection and risk assessment of heart disease. Understanding its role helps doctors provide timely and accurate care.
Source recommendations
1. European Society of Cardiology Guidelines on the Fourth Universal Definition of Myocardial Infarction
- https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Fourth-Universal-Definition-of-Myocardial-Infarction
- https://academic.oup.com/eurheartj/article/40/3/237/5079081
- https://pubmed.ncbi.nlm.nih.gov/30571511/
- https://www.acc.org/Latest-in-Cardiology/ten-points-to-remember/2018/08/24/00/09/Fourth-Universal-Definition-of-MI-ESC-2018
- https://pmc.ncbi.nlm.nih.gov/articles/PMC8078947/
2. American Heart Association Guidelines on Acute Coronary Syndrome
- https://www.heart.org/en/health-topics/heart-attack/about-heart-attacks/acute-coronary-syndrome
- https://professional.heart.org/en/guidelines-statements
- https://www.ahajournals.org/doi/10.1161/cir.0000000000000134
- https://professional.heart.org/en/education/ntse-acs-for-professionals
- https://pubmed.ncbi.nlm.nih.gov/25260718/
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If you or your loved ones experience any of these symptoms, you should consult a doctor in time. Remember that self-medication can be dangerous, and timely diagnosis will preserve the quality and life expectancy.
The heart is an organ that does not know how to "keep silent" if something goes wrong. Chest pain, shortness of breath, swelling, dizziness, and rhythm disturbances are the symptoms that require our attention. The best prevention of heart disease is careful attention to your health, regular checkups with a doctor, and a healthy lifestyle. Take care of your heart, and it will serve you for many years!
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Every 3-5 years, half of the scientific approaches to treatment in the field of cardiology are reviewed as a result of specialized scientific discoveries. With us, you don't have to wait these years to learn about the best ways to treat you and your loved ones.