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A meta-Evaluation of fourteen studies showed the specificity of an elevated troponin about the 99th percentile was drastically reduced in sufferers with CKD. It truly is essential to find out Should the troponins are trending over time in these individuals.[seventy three] The troponin concentrations in patients with CKD usually are regular, so an increase and slide of your troponin would be a lot more indicative of a cardiac reason behind the elevated troponin.
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