Diagnostic roles of postmortem cTn I and cTn T in cardiac death with special regard to myocardial infarction: a systematic literature review and meta-analysis

Z Cao, M Zhao, C Xu, T Zhang, Y Jia, T Wang… - International journal of …, 2019 - mdpi.com
Z Cao, M Zhao, C Xu, T Zhang, Y Jia, T Wang, B Zhu
International journal of molecular sciences, 2019mdpi.com
Background: Cardiac troponin I (cTn I) and cardiac troponin T (cTn T) are currently widely
used as diagnostic biomarkers for myocardial injury caused by ischemic heart diseases in
clinical and forensic medicine. However, no previous meta-analysis has summarized the
diagnostic roles of postmortem cTn I and cTn T. The aim of the present study was to meta-
analyze the diagnostic roles of postmortem cTn I and cTn T for cardiac death in forensic
medicine, present a systematic review of the previous literature, and determine the …
Background
Cardiac troponin I (cTn I) and cardiac troponin T (cTn T) are currently widely used as diagnostic biomarkers for myocardial injury caused by ischemic heart diseases in clinical and forensic medicine. However, no previous meta-analysis has summarized the diagnostic roles of postmortem cTn I and cTn T. The aim of the present study was to meta-analyze the diagnostic roles of postmortem cTn I and cTn T for cardiac death in forensic medicine, present a systematic review of the previous literature, and determine the postmortem cut-off values of cTn I and cTn T.
Methods
We searched multiple databases for the related literature, performed a meta-analysis to investigate the diagnostic roles of postmortem cardiac troponins, and analyzed the receiver operating characteristic (ROC) curve to determine their postmortem cut-off values.
Results and Conclusions
The present meta-analysis demonstrated that postmortem cTn I and cTn T levels were increased in pericardial fluid and serum in cardiac death, especially in patients with acute myocardial infarction (AMI). We determined the postmortem cut-off value of cTn I in the pericardial fluid at 86.2 ng/mL, cTn I in serum at 9.5 ng/mL, and cTn T in serum at 8.025 ng/mL.
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