Klinisk Biokemi i Norden Nr 1, vol. 5, 1993 - page 16

katalytisk CK B, LD og LDl; forel0big ved pati–
enter indlagt med formodet akut koronar syn–
drom (AMI, ustabil angina pectoris). Fortsatte
studier samt praktisk kliniske erfaringer må
afklare, om troponin T kan stå alene som f0rste–
valgsmark0r i screening og manitorering af pa–
tienter med formodet akut koronar syndrom.
Hvorvidt troponin T kan bruges som nyttig
mark0r ved hjerteoperative indgreb, hjerte–
transplantationer, kardiomyopatier, peri- og
myokarditis samt nye medicinske behandlinger
såvel indenfor kardialogien som hrematologien
(cytostatika) må afg0res ved fremtidige studier.
Litteratur
l.
lschaemic heart disease registers: report of the
fifth working group. Copenhagen, Denmar
k:
World
Health Organisation, 1971.
2. Pastemak RC, Braunwald E, Sobel B. Acute myo–
cardial infarction. In Braunwald E, ed. Heart Disea–
se. 4th edition. Philadelphia,
W.
B. Saunders Compa–
ny, 1992:1200-92.
3. Katus HA, Remppis A, Scheffold T, Diederich
KW, Kubler W. Intracellular compartmentation of
cardiac troponin T and its release kinetics in patients
with reperfused and nonreperfused myocardial in–
farction. Am J Cardioll991;67:1360-7.
4. Katus HA, Looser S, Hallermeyer K, Remppis A,
Scheffold T, Borgya A, Essig U, Geuss U. De-
14
velopment and in vitro characterization of a new im–
munoassay of cardiac troponin T. Clin Chem
1992;38:386-93.
5. Katus HA, Ramppis A, Neumann FJ, Scheffold
T, Diederich KW,
V
inar G, Noe A, Matern G, Kuebler
W. Diagnostic efficiency of troponin T measure–
ments in acute myocardial infarction. Circulation
1991;83:902-12.
6. Gerhardt W, Katus H, Ravkilde J, Hamm C, J0r–
gensen PJ, Peheim E, Ljungdahl L, Löfdahl P. S–
Troponin T in suspected ischemic myocardial injury
compared with mass and catalytic concentrations of
S-creatine kinase isoenzyme MB. Clin Chem
1991;37:1405-11.
7. Hamm CW, Ravkilde J, Gerhardt W, J0rgensen P,
Peheim E, Ljungdahl L, Goldmann B, Katus HA.
The prognostic value of serum troponin T in unstable
angina. N Engl J Med 1992;327:146-50.
8. Ravkilde J, Gerhardt W, Löfdahl P, Tryding N,
Pettersson T, Penttilä l, Helin M, Åsberg A, Graven
T, Hamfelt A, M0ller BH, H0rder M. ldentifying a
high-risk group among patients in whom acute myo–
cardial infarction has been ruled out based on S–
troponin T. Scand J Clin Lab lnvest 1992;52(suppl.
211):110.
9. B0tker HE, Ravkilde J, S0gaard P, J0rgensen PJ,
H0rder M, Thygesen K. Gradation of unstable angi–
na based on a sensitive immunoassay for serum crea–
tine kinase MB. Br Heart J 1991;65:72-6.
10. Ravkilde
J,
Hansen AB, H0rder M, J0rgensen PJ,
Thygesen K. Risk stratification in suspected acute
myocardial infarction based on a sensitive immuno–
assay for serum creatine kinase isoenzyme MB. Car–
diology 1992;80:143-51.
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