Variability of high-sensitivity cardiac troponin T and I in asymptomatic patients receiving hemodialysis
Abstract Variation of high-sensitivity cardiac troponin I and T (hs-cTn) during hemodialysis has been observed. Observational studies demonstrated the increased incidence of adverse cardiovascular events after long compared to short interdialytic intervals. Therefore, we aimed to compare variation o...
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2021
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oai:doaj.org-article:df42fa87915643fbbe5c23e107ae93682021-12-02T19:10:21ZVariability of high-sensitivity cardiac troponin T and I in asymptomatic patients receiving hemodialysis10.1038/s41598-021-96658-02045-2322https://doaj.org/article/df42fa87915643fbbe5c23e107ae93682021-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-96658-0https://doaj.org/toc/2045-2322Abstract Variation of high-sensitivity cardiac troponin I and T (hs-cTn) during hemodialysis has been observed. Observational studies demonstrated the increased incidence of adverse cardiovascular events after long compared to short interdialytic intervals. Therefore, we aimed to compare variation of hs-cTnI and hs-cTnT before and after hemodialysis and between short and long interdialytic intervals. We enrolled 200 asymptomatic patients receiving regular hemodialysis. The hs-cTnI and hs-cTnT levels were measured before and after hemodialysis on the day after short and long interdialytic intervals. Mean age was 62.3 ± 14.8 years (Male 55.5%). Prevalence of increased hs-cTnI and hs-cTnT was 34.5% and 99.0%, respectively. The median ± interquartile range of hs-cTnT increased significantly after hemodialysis during short and long interdialytic intervals. However, hs-cTnI level did not increase after hemodialysis during short and long intervals. We found that levels of hs-cTnI and T did not differ between short interdialytic and long interdialytic intervals. We demonstrated higher prevalence of elevated hs-cTnT in patients with regular hemodialysis compared to hs-cTnI. The rise of hs-cTnT was observed immediately after hemodialysis but no significant change of hs-cTnI was noted. Accordingly, hs-cTnI may be preferable as a diagnostic marker in patients with suspected acute myocardial infarction than hs-cTnT.Wanwarang WongcharoenTeetad ChombanditArintaya PhrommintikulKajohnsak NoppakunNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021) |
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Medicine R Science Q Wanwarang Wongcharoen Teetad Chombandit Arintaya Phrommintikul Kajohnsak Noppakun Variability of high-sensitivity cardiac troponin T and I in asymptomatic patients receiving hemodialysis |
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Abstract Variation of high-sensitivity cardiac troponin I and T (hs-cTn) during hemodialysis has been observed. Observational studies demonstrated the increased incidence of adverse cardiovascular events after long compared to short interdialytic intervals. Therefore, we aimed to compare variation of hs-cTnI and hs-cTnT before and after hemodialysis and between short and long interdialytic intervals. We enrolled 200 asymptomatic patients receiving regular hemodialysis. The hs-cTnI and hs-cTnT levels were measured before and after hemodialysis on the day after short and long interdialytic intervals. Mean age was 62.3 ± 14.8 years (Male 55.5%). Prevalence of increased hs-cTnI and hs-cTnT was 34.5% and 99.0%, respectively. The median ± interquartile range of hs-cTnT increased significantly after hemodialysis during short and long interdialytic intervals. However, hs-cTnI level did not increase after hemodialysis during short and long intervals. We found that levels of hs-cTnI and T did not differ between short interdialytic and long interdialytic intervals. We demonstrated higher prevalence of elevated hs-cTnT in patients with regular hemodialysis compared to hs-cTnI. The rise of hs-cTnT was observed immediately after hemodialysis but no significant change of hs-cTnI was noted. Accordingly, hs-cTnI may be preferable as a diagnostic marker in patients with suspected acute myocardial infarction than hs-cTnT. |
format |
article |
author |
Wanwarang Wongcharoen Teetad Chombandit Arintaya Phrommintikul Kajohnsak Noppakun |
author_facet |
Wanwarang Wongcharoen Teetad Chombandit Arintaya Phrommintikul Kajohnsak Noppakun |
author_sort |
Wanwarang Wongcharoen |
title |
Variability of high-sensitivity cardiac troponin T and I in asymptomatic patients receiving hemodialysis |
title_short |
Variability of high-sensitivity cardiac troponin T and I in asymptomatic patients receiving hemodialysis |
title_full |
Variability of high-sensitivity cardiac troponin T and I in asymptomatic patients receiving hemodialysis |
title_fullStr |
Variability of high-sensitivity cardiac troponin T and I in asymptomatic patients receiving hemodialysis |
title_full_unstemmed |
Variability of high-sensitivity cardiac troponin T and I in asymptomatic patients receiving hemodialysis |
title_sort |
variability of high-sensitivity cardiac troponin t and i in asymptomatic patients receiving hemodialysis |
publisher |
Nature Portfolio |
publishDate |
2021 |
url |
https://doaj.org/article/df42fa87915643fbbe5c23e107ae9368 |
work_keys_str_mv |
AT wanwarangwongcharoen variabilityofhighsensitivitycardiactroponintandiinasymptomaticpatientsreceivinghemodialysis AT teetadchombandit variabilityofhighsensitivitycardiactroponintandiinasymptomaticpatientsreceivinghemodialysis AT arintayaphrommintikul variabilityofhighsensitivitycardiactroponintandiinasymptomaticpatientsreceivinghemodialysis AT kajohnsaknoppakun variabilityofhighsensitivitycardiactroponintandiinasymptomaticpatientsreceivinghemodialysis |
_version_ |
1718377120448643072 |