A patient with chronic kidney disease has a persistently ele… | 마이메르시 MyMerci
Chemistry · 임상화학
문제
A patient with chronic kidney disease has a persistently elevated high-sensitivity troponin. Which approach best helps evaluate possible acute myocardial injury?
1Evaluate serial results for a significant rise or fall together with the clinical picture✓ 정답
2Interpret one elevated value as proof of acute infarction
3Replace troponin with serum sodium
4Ignore specimen quality because troponin assays cannot be affected by hemolysis
해설
Chronic kidney disease may be associated with stable troponin elevation. A dynamic serial change, interpreted with symptoms and other findings, is more informative for acute injury than a single value.
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