COMPLEX EXAMINATION AND TREATMENT OF PATIENTS WITH MYOCARDIAL INFARCTION OF THE IV TYPE USING TROPONIN I HIGH-SENSITIVITY RAPID ASSAY

The measurement of cardiac troponin levels is a gold standard of the diagnosis of acute coronary syndrome and myocardial infarction. Qualitative tests of troponins begin to implement in clinical practices in Ukraine. Unfortunately there is a lack of standardization of monoclonal antibodies on which the quantitative determination of troponins are based, item the tests of different manufacturers have various absolute values of concentration, sensitivity, specificity and significant levels for diagnosis. Furthermore, immune enzyme analyzers of different manufacturers are used in a clinic. Such situation complicates the clinician’s decision for earlier diagnosis of acute coronary syndrome and estimation of time-dependent dynamics of the troponin levels.

The aim of the study was to evaluate the possibility of reducing the time of diagnosis of acute myocardial injury by using the express test for troponin І produced by LLC “Virobnicha firma Simesta”, Ukraine.

To compare the differences in time-dependent dynamics of two differ express tests of the troponin І, the clinical case of the patient with acute myocardial infarction of the IV type is demonstrated.

The using of Troponin I high-sensitivity rapid assay produced by LLC “Virobnicha firma Simesta”, Ukraine, may have some perspectives as a method of earlier diagnosis of myocardial infarction to reduce the time prior to revascularization procedure.