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Cardiac Markers

Troponin, CK-MB, myoglobin, and the natriuretic peptides. 7 tests, 3 with a critical value.

TestConventionalSICritical
B-type Natriuretic Peptide (BNP)< 100 (heart failure unlikely) pg/mL< 100 ng/L
CK-MB< 5 (or < 5% of total CK) ng/mL< 5 µg/L
Creatine Kinase (CK)30–200 U/L0.5–3.34 µkat/LMarked elevation (thousands) suggests rhabdomyolysis
Myoglobin25–72 ng/mL25–72 µg/L
NT-proBNP< 125 (age < 75); < 450 if older pg/mL< 125 ng/L
Troponin I< 0.04 (assay-dependent) ng/mL< 0.04 µg/LAny elevation above the 99th percentile signals myocardial injury
Troponin T< 0.01 (assay-dependent) ng/mL< 0.01 µg/LElevation above the assay's 99th percentile indicates myocardial injury

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