To the Editor: Cardiac troponins are preferred markers of tissueinjury in acute coronary syndromes. Their specificity and thefact that only very minute amounts or none are normally foundin the circulation provide high clinical sensitivity and specificityeven when cardiac lesions are small. The importance of cardiactroponins in identifying high-risk patients to receive activeintervention is widely recognized.1
Troponins present substantial challenges with respect to immunoassays,however. They occur as various complexes or fragments and showother forms of heterogeneity.2 In addition, we recently reported3that serum from many patients contains an interfering factorthat prevents the . . . [Full Text of this Article]
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