PMID- 25343674 OWN - NLM STAT- MEDLINE DCOM- 20150625 LR - 20151119 IS - 1752-0371 (Electronic) IS - 1752-0363 (Linking) VI - 8 IP - 8 DP - 2014 TI - High-sensitivity troponin: where are we now and where do we go from here? PG - 1021-32 LID - 10.2217/bmm.14.54 [doi] AB - High-sensitivity troponin (hsTn) assays are used clinically in most parts of the world and are expected to be approved by the US FDA for clinical use in the USA soon. Clinical use of hsTn leads to improvements in the detection of myocardial injury, shorter time to ruling out acute myocardial infarction, improved risk-stratification of patients with heart failure and atrial fibrillation among others. HsTn may also guide strategies for primary and secondary prevention of cardiovascular disease. However, unmet challenges remain, including distinguishing between acute and chronic hsTn elevations, distinguishing between type 1 and type 2 acute myocardial infarction and determining whether to use gender-neutral or gender-specific reference values. FAU - Korley, Frederick K AU - Korley FK AD - Department of Emergency Medicine, Johns Hopkins University School of Medicine, Davis Building, Suite 3220, 5801 Smith Avenue, Baltimore, MD 21209, USA. FAU - Jaffe, Allan S AU - Jaffe AS LA - eng PT - Journal Article PT - Review PL - England TA - Biomark Med JT - Biomarkers in medicine JID - 101312535 RN - 0 (Biomarkers) RN - 0 (Troponin) SB - IM MH - Biomarkers/*metabolism MH - Cardiovascular Diseases/*prevention & control MH - Humans MH - Myocardial Infarction/*diagnosis/*metabolism MH - Prognosis MH - Troponin/*metabolism OTO - NOTNLM OT - acute coronary syndrome OT - cardiovascular disease prevention OT - high-sensitivity troponin OT - review OT - structural heart disease OT - troponin EDAT- 2014/10/25 06:00 MHDA- 2015/06/26 06:00 CRDT- 2014/10/25 06:00 PHST- 2014/10/25 06:00 [entrez] PHST- 2014/10/25 06:00 [pubmed] PHST- 2015/06/26 06:00 [medline] AID - 10.2217/bmm.14.54 [doi] PST - ppublish SO - Biomark Med. 2014;8(8):1021-32. doi: 10.2217/bmm.14.54.