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Grossly Elevated False-Positive High-Sensitivity Troponin I Due to Heterophilic Antimouse IgG1 Antibodies

机译:严重升高假阳性高灵敏度由于异染的肌钙蛋白I Antimouse IgG1抗体

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摘要

Although highly sensitive assays for the cardiac tropo-nins are now considered the optimal biomarkers for the diagnosis of acute myocardial infarction, it is becoming increasingly apparent that there may be discordance between the 2 most common troponin markers. In the absence of myocardial injury, this poses a diagnostic problem for the laboratory and an even greater diagnostic clinical problem. Strategies are needed to rule out analytically false results. These may include dilution, treatment with blocking agents, precipitation, immunoglobulin removal, or gel filtration (1-4).
机译:虽然心脏高度敏感的化验tropo-nins现在被认为是最优的生物标志物的诊断急性心肌梗塞,它正变得越来越明显可能有2大部分之间的不和谐常见的肌钙蛋白标记。心肌损伤,这构成了诊断实验室和一个更大的问题诊断的临床问题。需要排除分析错误的结果。这些可能包括稀释,治疗阻断剂、降水、免疫球蛋白移除或凝胶过滤(1 - 4)。

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