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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Autores principales: Wanwarang Wongcharoen, Teetad Chombandit, Arintaya Phrommintikul, Kajohnsak Noppakun
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Lenguaje:EN
Publicado: Nature Portfolio 2021
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle 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
description 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
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AT teetadchombandit variabilityofhighsensitivitycardiactroponintandiinasymptomaticpatientsreceivinghemodialysis
AT arintayaphrommintikul variabilityofhighsensitivitycardiactroponintandiinasymptomaticpatientsreceivinghemodialysis
AT kajohnsaknoppakun variabilityofhighsensitivitycardiactroponintandiinasymptomaticpatientsreceivinghemodialysis
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