Cutoff for high-sensitivity cardiac troponin T is not arbitrary but according to usual clinical practice

We were pleased to read a comment written by Bianchi1 regarding our article previously published in The  Journal of Thoracic and Cardiovascular Surgery.2 Bianchi1 raised several important issues related to the use of high-sensitivity cardiac troponin T (hs-cTnT) for the diagnosis of acute myocardial infarction (MI). First, we shall respond to his comment on the electrocardiographic and transthorac ic echocardiographic approach. The combination of biomarkers with electrocardiographic or transthoracic echocardiographic criteria to diagnose perioperative MI, as suggested by the “Third Universal Definition of Myocardial Infarction,”3 is more specific and has a high negative predictive value f or the diagnosis of perioperative MI after heart valve surgery than the use of a single criterion.
Source: The Journal of Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Adult: Perioperative management: Letter to the editor Source Type: research

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