Kinetics of cardiac troponin and other biomarkers in patients with ST elevation myocardial infarction

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  • Jonas Henrik Kristensen
  • Clara Amalie Wistisen Koczulab
  • Emil Anton Frandsen
  • Rasmus Bo Hasselbalch
  • Nina Strandkjær
  • Nicoline Jørgensen
  • Morten Østergaard
  • Peter Hasse Møller-Sørensen
  • Jens Christian Nilsson
  • Pia Rørbæk Kamstrup
  • Mustafa Vakur Bor
  • Line Rode
  • Jesper Kjærgaard
  • Lia Evi Bang

Objective: To examine changes in concentration, time-to-peak and the ensuing half-life of cardiac biomarkers in patients with myocardial infarction. Methods: Blood sampling was performed every third hour within 24 h after percutaneous coronary intervention (PCI) on a cohort of patients with ST elevation myocardial infarction. Cardiac troponin (cTn) was measured by the Dimension Vista, Vitros, Atellica, and Alinity high-sensitivity (hs) cTnI assays, and the Elecsys hs-cTnT assay. Further, creatine kinase (CK), myoglobin, creatine kinase MB (CKMB) and other biomarkers were analyzed. Results: A total of 36 patients completed blood sampling (median age 60 years, IQR 56.4–66.5 years; seven women, 19.4%). Hs-cTnI measured by the Vitros assay was the first hs-cTn to peak at 9.1 h (95%-CI 6.2–10.1) after PCI and 11.7 h (95%-CI 10.4–14.8) after symptoms onset. There were no notable differences between hs-cTn assays in regard to time-to-peak. Also, Vitros hs-cTnI reached the highest median ratio of concentration to upper reference level of nearly 2,000. The median half-life from peak concentration ranged from 7.6 h for myoglobin (CI 6.8–8.6) to 17.8 h for CK (CI 6.8–8.6). For hs-cTn assays the median T½ ranged from 12.4 h for the Vista hs-cTnI assay (95%-CI 11.0–14.1 h) to 17.3 h for the Elecsys hs-cTnT (95%-CI 14.9–20.8 h). Conclusions: This study updates knowledge on the kinetics of cardiac biomarkers in current clinical use. There was no notable difference in trajectories, time-to-peak or half-life between hs-cTn assays.

Original languageEnglish
Article number101250
JournalIJC Heart and Vasculature
Volume48
Number of pages8
ISSN2352-9067
DOIs
Publication statusPublished - 2023

Bibliographical note

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© 2023 The Authors

    Research areas

  • Cardiac biomarkers, Cardiac troponin, Cohort study, Coronary artery disease, Kinetics, Myocardial infarction

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