Literature DB >> 22752944

False positive cardiac troponin elevation due to heterophile antibodies: more common than we recognise?

Abbas Zaidi1, Richard Cowell.   

Abstract

A 53-year-old woman was admitted with non-exertional chest pain and elevated cardiac troponin I (cTnI) without dynamic changes of ischaemia on the ECG. She had recently undergone coronary angiography which had shown normal coronary vessels. Repeat angiography on this admission was again unremarkable. Samples of blood were sent for analysis using different troponin assays and demonstrated chronic basal elevation of cTnI while simultaneous assay for troponin T (cTnT) remained normal. Subsequent testing revealed the presence of heterophile antibodies interfering with the troponin I assay leading to a false positive result.

Entities:  

Mesh:

Substances:

Year:  2010        PMID: 22752944      PMCID: PMC3034207          DOI: 10.1136/bcr.11.2009.2477

Source DB:  PubMed          Journal:  BMJ Case Rep        ISSN: 1757-790X


  14 in total

1.  High percentage of false positive cardiac troponin I results in patients with rheumatoid factor.

Authors:  J Krahn; D M Parry; M Leroux; J Dalton
Journal:  Clin Biochem       Date:  1999-08       Impact factor: 3.281

2.  False increases of troponin I attributable to incomplete separation of serum.

Authors:  J S Nosanchuk; B Combs; G Abbott
Journal:  Clin Chem       Date:  1999-05       Impact factor: 8.327

3.  False-positive cardiac troponin I in a routine clinical population.

Authors:  Sean M Fleming; Lourde O'Byrne; Joseph Finn; Helen Grimes; Kieran M Daly
Journal:  Am J Cardiol       Date:  2002-05-15       Impact factor: 2.778

4.  False-positive immunoassay results: a multicenter survey of erroneous immunoassay results from assays of 74 analytes in 10 donors from 66 laboratories in seven countries.

Authors:  Vincent Marks
Journal:  Clin Chem       Date:  2002-11       Impact factor: 8.327

5.  Hemolysis interference in the ortho-clinical diagnostics vitros ECi cTnI assay.

Authors:  Robert C Hawkins
Journal:  Clin Chem       Date:  2003-07       Impact factor: 8.327

6.  Effect of elevated concentration of alkaline phosphatase on cardiac troponin I assays.

Authors:  A Dasgupta; L Chow; A Wells; P Datta
Journal:  J Clin Lab Anal       Date:  2001       Impact factor: 2.352

7.  Universal definition of myocardial infarction.

Authors:  Kristian Thygesen; Joseph S Alpert; Harvey D White; Allan S Jaffe; Fred S Apple; Marcello Galvani; Hugo A Katus; L Kristin Newby; Jan Ravkilde; Bernard Chaitman; Peter M Clemmensen; Mikael Dellborg; Hanoch Hod; Pekka Porela; Richard Underwood; Jeroen J Bax; George A Beller; Robert Bonow; Ernst E Van der Wall; Jean-Pierre Bassand; William Wijns; T Bruce Ferguson; Philippe G Steg; Barry F Uretsky; David O Williams; Paul W Armstrong; Elliott M Antman; Keith A Fox; Christian W Hamm; E Magnus Ohman; Maarten L Simoons; Philip A Poole-Wilson; Enrique P Gurfinkel; José-Luis Lopez-Sendon; Prem Pais; Shanti Mendis; Jun-Ren Zhu; Lars C Wallentin; Francisco Fernández-Avilés; Kim M Fox; Alexander N Parkhomenko; Silvia G Priori; Michal Tendera; Liisa-Maria Voipio-Pulkki; Alec Vahanian; A John Camm; Raffaele De Caterina; Veronica Dean; Kenneth Dickstein; Gerasimos Filippatos; Christian Funck-Brentano; Irene Hellemans; Steen Dalby Kristensen; Keith McGregor; Udo Sechtem; Sigmund Silber; Michal Tendera; Petr Widimsky; José Luis Zamorano; Joao Morais; Sorin Brener; Robert Harrington; David Morrow; Michael Lim; Marco A Martinez-Rios; Steve Steinhubl; Glen N Levine; W Brian Gibler; David Goff; Marco Tubaro; Darek Dudek; Nawwar Al-Attar
Journal:  Circulation       Date:  2007-10-19       Impact factor: 29.690

8.  Immunogenicity and reactogenicity of influenza subunit vaccines produced in MDCK cells or fertilized chicken eggs.

Authors:  A M Palache; R Brands; G J van Scharrenburg
Journal:  J Infect Dis       Date:  1997-08       Impact factor: 5.226

9.  Circulating antibodies to cow's milk proteins in ulcerative colitis.

Authors:  D P Jewell; S C Truelove
Journal:  Gut       Date:  1972-10       Impact factor: 23.059

10.  Immunoglobulin Inhibiting Reagent: evaluation of a new method for eliminating spurious elevations in CA125 caused by HAMA.

Authors:  S Nicholson; M Fox; A Epenetos; G Rustin
Journal:  Int J Biol Markers       Date:  1996 Jan-Mar       Impact factor: 3.248

View more
  5 in total

1.  A non-ischaemic cause of elevated troponin.

Authors:  Guy Lefort; Claude D'Antonio; Terrell Caffery
Journal:  BMJ Case Rep       Date:  2014-04-04

2.  Ultra-high sensitivity cardiac troponin-I concentration and left ventricular structure and function in women with ischemia and no obstructive coronary artery disease.

Authors:  Odayme Quesada; Omeed Elboudwarej; Michael D Nelson; Ahmed Al-Badri; Mitra Mastali; Janet Wei; Bijan Zarrabi; Nissi Suppogu; Haider Aldiwani; Puja Mehta; Chrisandra Shufelt; Galen Cook-Wiens; Daniel S Berman; Louise E J Thomson; Eileen Handberg; Carl J Pepine; Jennifer E Van Eyk; C Noel Bairey Merz
Journal:  Am Heart J Plus       Date:  2022-03-03

3.  False Positive Troponin I Rendering Two Admissions for "Recurrent Acute Myopericarditis".

Authors:  Rita Marinheiro; Pedro Amador; Leonor Parreira; Quitéria Rato; Rui Caria
Journal:  Open Cardiovasc Med J       Date:  2018-06-29

Review 4.  False-Positive Causes in Serum Cardiac Troponin Levels.

Authors:  Aleksey Michailovich Chaulin
Journal:  J Clin Med Res       Date:  2022-02-24

Review 5.  The role of antibody-based troponin detection in cardiovascular disease: A critical assessment.

Authors:  Hui Ma; Arabelle Cassedy; Richard O'Kennedy
Journal:  J Immunol Methods       Date:  2021-07-28       Impact factor: 2.303

  5 in total

北京卡尤迪生物科技股份有限公司 © 2022-2023.