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Reprinted, with permission, from Eggers KM, Oldgren J, Nordenskjold A, et al. Diagnostic value of serial measurement of cardiac markers in individuals with chest agony: limited worth of incorporating myoglobin to troponin I for exclusion of myocardial infarction. Am Coronary heart J

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Factors relevant to cardiac surgical procedures that lead to myocardial damage include things like the period of cross clamping and cardiopulmonary bypass; prospective occlusion of the graft; the nature, temperature and adequacy of your cardioplegia; the usage of cardiopulmonary bypass alone (owing to activation of platelets, complement and cytokines); direct trauma to the heart; coronary artery or venous graft embolism; together with other issues of the technique.114

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The amplified sensitivity and specificity of troponin assays now help it become distinct how frequently some degree of cardiac problems occurs. topanwin In critically sick clients, these elevations have profound prognostic value.

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