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| A B C D E F G H I J K L M N O P Q R S T U V W X Y Z # |
TROPONIN I, HIGH SENSITIVITY
MessageNote: This test has different reporting units compared to previous Toponin testing.
Test Code
TNIHS (OE & LAB)
CPT Codes
84484
Preferred Specimen
Green Tube (Lithium Heparin)
Patient Preparation
None
Minimum Volume
2mL
Other Acceptable Specimens
None
Instructions
Centrifuge for complete separation of plasma and red cells.
Transport Container
GREEN Tube
Transport Temperature
Room Temperature
Specimen Stability
- 15-30°C up to 4 hours
- 2-8°C up to 2 days
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Clotted Specimen
Methodology
CIA (Chemiluminescent immunoassay)
Setup Schedule
DAILY, as received
Report Available
STAT: <60 Minutes
Routine: <4 Hours
Routine: <4 Hours
Reference Range
Male: 0-20 pg/mL Female: 0-12 pg/mL
Reference ranges may vary based on performing lab. Use lab reports when interpreting patient results.
Reference ranges may vary based on performing lab. Use lab reports when interpreting patient results.
Clinical Significance
If patient's result is : < 99th percential:
If patient result is > 99th percential:
High Sensitivity Troponin result is at or below the 99th percentile upper reference limit. Myocardial injury is unlikely. Recommend additional and serial testing to exclude evolving myocardial injury or acute coronary syndrome as clinically indicated
If patient result is > 99th percential:
High Sensitivity Troponin result exceeds the 99th percentile upper reference limit. This is consistent with myocardial injury. Causes include but are not limited to: heart failure, myocarditis, sepsis, chronic kidney disease, PE). Recommend additional and serial testing to determine if stable hs-Troponin elevations are present consistent with chronic myocardial injury.
Rising and/or falling levels in the absence of ischemia, suggest acute myocardial injury.
Rising and/or falling levels in the presence of ischemia and the appropriate clinical setting are consistent with an acute myocardial infarction
Rising and/or falling levels in the absence of ischemia, suggest acute myocardial injury.
Rising and/or falling levels in the presence of ischemia and the appropriate clinical setting are consistent with an acute myocardial infarction
Performing Laboratory
Mount Sinai Hospital
Holy Cross Hospital
