PMID- 23184341 OWN - NLM STAT- MEDLINE DCOM- 20130523 LR - 20211021 IS - 1179-2000 (Electronic) IS - 1177-1062 (Linking) VI - 16 IP - 6 DP - 2012 Dec TI - Cardiac troponins I and T: molecular markers for early diagnosis, prognosis, and accurate triaging of patients with acute myocardial infarction. PG - 371-81 LID - 10.1007/s40291-012-0011-6 [doi] AB - Acute myocardial infarction (AMI) is the leading cause of death worldwide, with early diagnosis still being difficult. Promising new cardiac biomarkers such as troponins and creatine kinase (CK) isoforms are being studied and integrated into clinical practice for early diagnosis of AMI. The cardiac-specific troponins I and T (cTnI and cTnT) have good sensitivity and specificity as indicators of myocardial necrosis and are superior to CK and its MB isoenzyme (CK-MB) in this regard. Besides being potential biologic markers, cardiac troponins also provide significant prognostic information. The introduction of novel high-sensitivity troponin assays has enabled more sensitive and timely diagnosis or exclusion of acute coronary syndromes. This review summarizes the available information on the potential of troponins and other cardiac markers in early diagnosis and prognosis of AMI, and provides perspectives on future diagnostic approaches to AMI. FAU - Tiwari, Ram P AU - Tiwari RP AD - Diagnostic Division, RFCL Limited (formerly Ranbaxy Fine Chemicals Limited), Avantor Performance Materials, New Delhi, India. FAU - Jain, Anubhav AU - Jain A FAU - Khan, Zakir AU - Khan Z FAU - Kohli, Veena AU - Kohli V FAU - Bharmal, R N AU - Bharmal RN FAU - Kartikeyan, S AU - Kartikeyan S FAU - Bisen, Prakash S AU - Bisen PS LA - eng PT - Journal Article PT - Review PL - New Zealand TA - Mol Diagn Ther JT - Molecular diagnosis & therapy JID - 101264260 RN - 0 (Biomarkers) RN - 0 (Troponin I) RN - 0 (Troponin T) SB - IM MH - *Biomarkers/analysis/blood/metabolism MH - Early Diagnosis MH - Humans MH - Molecular Diagnostic Techniques/methods/standards MH - Myocardial Infarction/blood/*classification/*diagnosis/therapy MH - Myocardium/metabolism MH - Prognosis MH - Sensitivity and Specificity MH - Triage/*methods MH - Troponin I/analysis/blood/metabolism/*physiology MH - Troponin T/analysis/blood/metabolism/*physiology EDAT- 2012/11/28 06:00 MHDA- 2013/05/25 06:00 CRDT- 2012/11/28 06:00 PHST- 2012/11/28 06:00 [entrez] PHST- 2012/11/28 06:00 [pubmed] PHST- 2013/05/25 06:00 [medline] AID - 10.1007/s40291-012-0011-6 [doi] PST - ppublish SO - Mol Diagn Ther. 2012 Dec;16(6):371-81. doi: 10.1007/s40291-012-0011-6.