Retornamos com o TdC Lab, dessa vez para falar sobre Troponina! Raphael, João e Guilherme Moura falam desse exame precioso na sala de emergência. 

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MINUTAGEM

(2:46) o que é troponina?

(4:27) Valor de referência

(7:22) Troponina ultra sensível

(10:10) o que faz q troponina subir 

(11:50) injúria miocárdica 

(16:30) Tipo de infartos

(18:15) Injúria miocárdica x infarto do tipo II

(20:20) Troponina acima do p99 mas que não curva

 (20:45) Fatores que aumentam a troponina

(21:17) cinética da troponina 

(22:58) Valor prognóstico 

(23:38) Escore de Heart

(25:05) Quando não pedir

(27:26) Resumo 

(28:31) CKMB

(29:28) salves

(30:46) Resposta do desafio anterior

(32:00) Desafio da semana

 REFERÊNCIAS

1- UPTODATE Jul 2020. Troponin testing: Analytical considerations. Allan S Jaffe, David A Morrow, Juan Carlos Kaski

2- FDA Warns that Biotin may interfere with Lab Tests: FDA Safety Communication ( https://www.fda.gov/medical-devices/safety-communications/update-fda-warns-biotin-may-interfere-lab-tests-fda-safety-communication)

3- UPTODATE JUL 2020. Troponin testing: Clinical Use. Allan S Jaffe, David A Morrow, Juan Carlos Kaski, Gordon Saperia.

4- THYGESEN, Kristian et al. Fourth universal definition of myocardial infarction (2018). Journal of the American College of Cardiology, v. 72, n. 18, p. 2231-2264, 2018. mn

5- WANG, Alfred Z. et al. Troponin Testing and Coronary Syndrome in Geriatric Patients With Nonspecific Complaints: Are We Overtesting?. Academic Emergency Medicine, v. 27, n. 1, p. 6-14, 2020. 

6- WU, Alan HB et al. Clinical laboratory practice recommendations for the use of cardiac troponin in acute coronary syndrome: expert opinion from the Academy of the American Association for Clinical Chemistry and the Task Force on Clinical Applications of Cardiac Bio-Markers of the International Federation of Clinical Chemistry and Laboratory Medicine. Clinical chemistry, v. 64, n. 4, p. 645-655, 2018. 

7. Site com valores de referência da Troponina. http://www.ifcc.org/executive-board-and-council/eb-task-forces/task-force-on-clinical-applications-of-cardiac-bio-markers-tf-cb.