- The U.S Food and Drug Administration has recently approved a new high-sensitivity version of the cardiac troponin test to be used in emergency rooms
- The current test is faster, safer and more effective
- The new test can exclude more patients who have not had an heart attack than previously
A recent publication in a journal reports a highly -sensitive blood test called 'hs-cTnT test' of cardiac troponin for ruling out heart attack in the emergency room. The new test is more sensitive than the conventional cardiac troponin test that is routinely used in most hospitals. This paper has been published in the latest issue of the American Heart Association's journal Circulation
The usual routine when patients comes to an emergency rooms with heart attack symptoms is to confirm an attack by doing a blood test to check the cardiac troponin
levels and repeating it after a few hours. This means staying in the hospitals for a few hours.
Cardiac Troponin T (Hs-cTnT) Test
The new test abbreviated as hs-cTnT test assesses levels of cardiac troponin, a protein in heart muscle cells that are released into the bloodstream when the heart is damaged
. Generally the amount of troponin released is directly proportional to the damage of the heart.
‘A cardiac troponin test, more sensitive than its earlier version helps health personnel in the emergency rooms detect heart attacks faster than before, assisting doctors to focus immediately on patients who need care.’
Even in the earlier troponin test, a very slight increase in the troponin level was enough to mean that there had been some damage done to the heart.
Elevated troponin levels show up after a few hours of heart attack. Hence, doctors make the patients stay for a few hours for a subsequent troponin test or another test is done to confirm a heart attack.
An increased level after 6 hours
, confirms the presence of a heart attack in most patients. An increased level after 12 hours
, confirms a heart attack in almost everyone.
Troponin levels may remain high for 1 to 2 weeks after a heart attack.
"We did not miss any heart attack using this new test in this population,"
said lead author Rebecca Vigen, M.D., M.S.C.S., a cardiologist at the University of Texas Southwestern Medical Center. "The test also allowed us to determine faster that many patients who had symptoms of a heart attack were not having a heart attack than if we had relied on the traditional test."
The research team developed a protocol to assess the results of the new
test and compared it to the existing conventional troponin test
that takes about
three hours to complete.
About 536 study participants were admitted to an emergency room with
heart attack symptoms, including chest pains and shortness of breath.
The new procedure was successful in "ruling out" 30 percent of
patients immediately, followed by an additional 25 percent at one hour.
By the end of three hours, the new procedure ruled out heart attack in
83.8 percent of patients compared with 80.4 percent using the conventional
What is a Heart Attack?
Also known as
myocardial infarction, when a heart attack occurs, there is a block in one of
the coronary arteries or arteries of the heart, which reduces the blood flow
going into the heart. As a result, a part of the heart muscle is deprived of
What a person feels when they suffer a heart attack
Chest - Pain or discomfort in the center that feels
like uncomfortable pressure, squeezing, fullness
or pain, shortness of breath
Upper body - Pain or discomfort in the neck,
shoulder, one or both arms, back jaw
Head - Lightheadedness, nausea or vomiting
anticipate that this procedure will allow many patients with chest pain to be
given a 'yes' or 'no' diagnosis of whether they are having a heart attack
faster," said Vigen, who hopes clinicians from other institutions will
learn from these results.
- More sensitive blood test diagnoses heart attacks faster - (https://newsroom.heart.org/news/more-sensitive-blood-test-diagnoses-heart-attacks-faster?preview=0f4f)
- Troponin test - (https://medlineplus.gov/ency/article/007452.htm)
- Warning Signs of a Heart Attack - (https://www.heart.org/en/health-topics/heart-attack/warning-signs-of-a-heart-attack)