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Si los resultados de su primera prueba de troponina son normales, probablemente le vuelvan a hacer la prueba durante las próximas 12 horas. Esto se debe a que, en general, los niveles elevados de troponina no aparecen hasta 2 o 3 horas después de que comienza un ataque al corazón.
Troponin assays are not merely a lot more delicate but are a lot more certain than CK-MB assays. Expression of CK-MB isn't one of a kind to the center.37 CK-MB is located in skeletal muscle mass along with the gastrointestinal tract and during the uterus of pregnant Females.38 Also, in patients with myopathies, the CK-MB articles of skeletal muscle mass can enhance markedly to as many as fifty% of the full quantity for each gram of tissue.
Reprinted, with permission, from Eggers KM, Oldgren J, Nordenskjold A, et al. Diagnostic worth of serial measurement of cardiac markers in people with chest agony: minimal price of including myoglobin to troponin I for exclusion of myocardial infarction. Am Heart J
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Test timing: It might take a number of hours for troponin degrees to increase after a coronary heart attack, so Preliminary tests may well not display detectable quantities of troponin. So as to rule out a false destructive final result, troponin amounts are generally tested once more about a 24-hour period to search for soaring values.
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