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Troponin I

CPT/HCPCS 84484
Order Code CH205
Turnaround Time 24 hours
Test Includes

Troponin I

Specimen Requirements
Specimen Source
Whole blood
Transport Container
(Specimen Container)

Lavender (K2-EDTA)

Preferred Specimens
Whole Blood
Minimum Volume (uL)
Minimum fill line
Collection Instructions
(Transport Temperature)
Transport Frozen
Specimen Stability
Temperature Period
Room temperature 4 hours
Refrigerated Unacceptable
Frozen 30 days
Special Instructions

Transport Whole Blood Room Temperature if within 4 hours of collection. If specimen >4 hours of collection, centrifuge sample and remove plasma. Transport plasma Frozen.

Test Details
Methodology
Fluorescence immunoassay
Clinical Significance

Exclusion diagnosis of acute myocardial infarction Troponin is a complex that regulates the contraction of striated muscle. It consists of 3 subunits (C, T, and I) that are located periodically along the thin filament of the myofibrils. Troponin I inhibits actomyosin ATPase. Troponin I is an inhibitory protein and exhibits in 3 isoforms: cardiac muscle, slow-twitch skeletal muscle, and fast-twitch skeletal muscle. The cardiac form of troponin I has 31 amino acid residues on its N-terminal, not present in the skeletal forms, which allow for specific polyclonal and monoclonal antibody development. The cardiac specificity of this isoform improves the accuracy of diagnosis in patients with acute or chronic skeletal muscle injury and possible concomitant myocardial injury. Troponin I is the only troponin isotope present in the myocardium and is not expressed during any developmental stage in skeletal muscle. Troponin I is released into the bloodstream within hours of the onset of symptoms of myocardial infarction or ischemic damage. It can be detected at 3 to 6 hours following onset of chest pain with peak concentrations at 12 to 16 hours, and remains elevated for 5 to 9 days.

Reference Ranges

<0.05 ng/mL