Analytical Issues Surrounding Troponin Assays
Analytical Definitions (Related to Troponin)
October 2010
It may be helpful to review the analytical definitions as they relate to troponin. The limit of blank is the highest apparent analyte concentration and is determined from analyte-free samples. The limit of detection is the lowest concentration of troponin that can be reliably differentiated from the limit of blank. Assays that have a lower limit of detection are considered more sensitive but not necessarily more precise. In other words, just because you can report down to a certain number does not mean that you should. The limit of quantitation is the lowest concentration that can be reliably detected and produce an acceptable precision that may be de a predefined goal for bias and imprecision. The limit of quantitation may be equivalent to the limit of detection or it could be at a much higher concentration. For troponin assays the limit of quantitation is the 10% CV concentration.
Analytical Definitions (Related to Troponin) |
Jump to section:
- Introduction
- Challenges in Cardiovascular Medicine
- Shades of Gray
- Cardiac Markers
- Troponin Elevations are Greater and Persist Over Longer Time Periods
- 2007 Universal Definition of MI1
- Serial Sampling
- Elevation of cTn in Patients Without Overt Ischemic Heart Disease1
- Analytic Confusion: Sensitivity and Imprecision of cTn Assays
- Analytical Definitions (Related to Troponin)
- Current Troponin Assays
- Defining the 99th Percentile (Normal Population)
- Troponin T or Troponin I: Does it Matter?
- Is CK-MB Needed Anymore?
- Recommendations for Point-of-Care Cardiac Marker Testing2,3
- Does POCT Make Any Difference?
- What About the High-Sensitive Troponin Assays?
- Why All the Hype for High-Sensitivity Troponin?
- Troponin Concentrations and Diagnostic Accuracy4
- How Sensitive Does Troponin Testing Really Need to Be?
- Current Mayo Cardiac Biomarker Panel
- Current Mayo Cardiac Biomarker Panel
- Conclusions
- References
- Questions?
- Disclosure


