Evidence map›Paper›PMID 40396264›Full record

ArticleJournal of biomedical research2025

Using higher cut-off values to diagnose acute myocardial infarction in patients with elevated hs-cTnT.

Tian Wu, Jiaqi Chai, Chunyue Tan, Zhiwen Tao, Hui Yong, Zhenyu Lin, Xiaoxuan Gong, Kun Liu, Lei Xu, Qin Wang and 10 more

Abstract read
In one paragraph

Article in Journal of biomedical research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Tian WuDepartment of Cardiology, the First Affiliated Hospital with Nanjing Medical University, Nanjing, Jiangsu 210029, China.
Jiaqi ChaiDepartment of Cardiology, the First Affiliated Hospital with Nanjing Medical University, Nanjing, Jiangsu 210029, China.
Chunyue TanDepartment of Cardiology, the First Affiliated Hospital with Nanjing Medical University, Nanjing, Jiangsu 210029, China.
Zhiwen TaoDepartment of Cardiology, the First Affiliated Hospital with Nanjing Medical University, Nanjing, Jiangsu 210029, China.
Hui YongDepartment of Cardiology, the First Affiliated Hospital with Nanjing Medical University, Nanjing, Jiangsu 210029, China.
Zhenyu LinDepartment of Cardiology, the First Affiliated Hospital with Nanjing Medical University, Nanjing, Jiangsu 210029, China.
Xiaoxuan GongDepartment of Cardiology, the First Affiliated Hospital with Nanjing Medical University, Nanjing, Jiangsu 210029, China.
Kun LiuDepartment of Cardiology, the First Affiliated Hospital with Nanjing Medical University, Nanjing, Jiangsu 210029, China.
Lei XuDepartment of Cardiology, the First Affiliated Hospital with Nanjing Medical University, Nanjing, Jiangsu 210029, China.
Qin WangDepartment of Cardiology, the First Affiliated Hospital with Nanjing Medical University, Nanjing, Jiangsu 210029, China.
Shenqi JingCenter for Data Management, the First Affiliated Hospital with Nanjing Medical University, Nanjing, Jiangsu 210029, China.
Jiani XuCenter for Data Management, the First Affiliated Hospital with Nanjing Medical University, Nanjing, Jiangsu 210029, China.
Hui ZhouShanghai Synyi Medical Technology Co., Ltd., Shanghai 200000, China.
Tao LiShanghai Synyi Medical Technology Co., Ltd., Shanghai 200000, China.
Liang YuanDepartment of Cardiology, the First Affiliated Hospital with Nanjing Medical University, Nanjing, Jiangsu 210029, China.
Bo ChenDepartment of Cardiology, the First Affiliated Hospital with Nanjing Medical University, Nanjing, Jiangsu 210029, China.
Fang WangDepartment of Cardiology, the First Affiliated Hospital with Nanjing Medical University, Nanjing, Jiangsu 210029, China.
Ruxing WangDepartment of Cardiology, the Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi People's Hospital, Wuxi Medical Center, Nanjing Medical University, Wuxi, Jiangsu 214023, China.
Yun LiuDepartment of Medical Informatics, School of Biomedical Engineering and Informatics, Nanjing Medical University, Nanjing, Jiangsu 211166, China.
Chunjian LiDepartment of Cardiology, the First Affiliated Hospital with Nanjing Medical University, Nanjing, Jiangsu 210029, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

It is often challenging to diagnose acute myocardial infarction (AMI) in patients with elevated high-sensitivity cardiac troponin T (hs-cTnT) before a significant rise and/or fall of hs-cTnT can be observed. This study aimed to find an optimal cut-off to rule in AMI. A total of 76411 patients with elevated hs-cTnT were included. The predictive cut-off values for diagnosing ST-segment elevation myocardial infarction (STEMI) and non-ST-segment elevation myocardial infarction (NSTEMI) were assessed by the area under the receiver operating characteristic curves (AUC). Among the patients, 50466 (66.0%) had non-cardiac diseases, 25945 (34.0%) had cardiac diseases, and 15502 (20.3%) had AMI, including 816 (1.1%) with STEMI and 14686 (19.2%) with NSTEMI. The median hs-cTnT level was 3788.0 ng/L in STEMI patients and 67.2 ng/L in NSTEMI patients. The optimal cut-off for diagnosing STEMI was 251.9 ng/L, with a sensitivity of 90.7%, specificity of 86.5%, and an AUC of 0.942; the optimal cut-off for diagnosing NSTEMI was 130.5 ng/L, with a sensitivity of 40.9%, specificity of 83.8%, and an AUC of 0.638. In patients with elevated hs-cTnT, optimizing the cut-off values for diagnosing STEMI and NSTEMI to 251.9 ng/L and 130.5 ng/L, respectively, demonstrated high accuracy in a large cohort of Chinese patients.

Indexed as

acute myocardial infarctionhigh sensitivity cardiac troponin Trule-in

Identifiers

PMID40396264
PMCPMC12683508

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.