title: Comparative analysis of high-sensitivity cardiac troponin I and T for their association with coronary computed tomography-assessed calcium scoring represented by the Agatston score
creator: Rusnak, Jonas
creator: Behnes, Michael
creator: Henzler, Thomas
creator: Reckord, Nadine
creator: Vogler, Nils
creator: Meyer, Mathias
creator: Hoffmann, Ursula
creator: Natale, Michele
creator: Hoffmann, Julia
creator: Hamed, Sonja
creator: Weidner, Kathrin
creator: Lang, Siegfried
creator: Mukherji, Agnibh
creator: Haubenreisser, Holger
creator: Schoenberg, Stefan O.
creator: Borggrefe, Martin
creator: Bertsch, Thomas
creator: Akin, Ibrahim
subject: ddc-610
subject: 610 Medical sciences Medicine
description: Background: This study evaluates the association between high-sensitivity cardiac troponin I (hs-cTnI) and T (hs-cTnT) and coronary calcium concentration (CAC) detected by coronary computed tomography (CCT) and evaluated with the Agatston score in patients with suspected coronary artery disease (CAD).       Methods: Patients undergoing CCT during routine clinical care were enrolled prospectively. CCT was indicated for patients with a low to intermediate pretest probability for CAD. Within 24 h of CCT examination, peripheral blood samples were taken to measure cardiac biomarkers hs-cTnI and hs-cTnT.       Results: A total of 76 patients were enrolled including 38% without detectable CAC, 36% with an Agatston score from 1 to 100, 17% from 101 to 400, and 9% with values ≥ 400. hs-cTnI was increasing alongside Agatston score and was able to differentiate between different groups of Agatston scores. Both hs-cTn discriminated values greater than 100 (hs-cTnI, AUC = 0.663; p = 0.032; hs-cTnT, AUC = 0.650; p = 0.048). In univariate and multivariate logistic regression models, hs-cTnT and hs-cTnI were significantly associated with increased Agatston scores. Patients with hs-cTnT ≥ 0.02 µg/l and hs-cTnI ≥ 5.5 ng/l were more likely to reveal values ≥ 400 (hs-cTnT; OR = 13.4; 95% CI 1.545–116.233; p = 0.019; hs-cTnI; OR = 8.8; 95% CI 1.183–65.475; p = 0.034).       Conclusion: The present study shows that the Agatston score was significantly correlated with hs cardiac troponins, both in univariable and multivariable linear regression models. Hs-cTnI is able to discriminate between different Agatston values. The present results might reveal potential cut-off values for hs cardiac troponins regarding different Agatston values.      Trial registration Cardiovascular Imaging and Biomarker Analyses (CIBER), NCT03074253 https://clinicaltrials.gov/ct2/show/record/NCT03074253
publisher: BioMed Central ; Holzapfel
date: 2017
type: Article
type: info:eu-repo/semantics/article
type: NonPeerReviewed
format: application/pdf
identifier: https://archiv.ub.uni-heidelberg.de/volltextserver/24250/1/40001_2017_Article_290.pdf
identifier: DOI:
identifier: urn:nbn:de:bsz:16-heidok-242502
identifier:   Rusnak, Jonas ; Behnes, Michael ; Henzler, Thomas ; Reckord, Nadine ; Vogler, Nils ; Meyer, Mathias ; Hoffmann, Ursula ; Natale, Michele ; Hoffmann, Julia ; Hamed, Sonja ; Weidner, Kathrin ; Lang, Siegfried ; Mukherji, Agnibh ; Haubenreisser, Holger ; Schoenberg, Stefan O. ; Borggrefe, Martin ; Bertsch, Thomas ; Akin, Ibrahim  (2017) Comparative analysis of high-sensitivity cardiac troponin I and T for their association with coronary computed tomography-assessed calcium scoring represented by the Agatston score.  European journal of medical research, 22 (47).  pp. 1-9.  ISSN 2047-783X     
relation: https://archiv.ub.uni-heidelberg.de/volltextserver/24250/
rights: info:eu-repo/semantics/openAccess
rights: Please see front page of the work (Sorry, Dublin Core plugin does not recognise license id)
language: eng