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High Sensitivity Troponin T (hs Troponin)

Additional Codes

Epic# -

Lab 5991 Troponin T hs

Lab 6027 Troponin T High-Sensitivity Series (Baseline, 2HR, 4HR, 6HR)

 

Cerner name(s):

  • Troponin T high-sensitivity
  • Troponin T hs
  • Troponin T high-sens

Performing Lab(s)

Memorial-Belleville & Memorial-Shiloh

 

Specimen Requirement (s)

Specimen:  plasma

Type: Container/Tube: Mint green (LiHep) tubes

Specimen Volume: 2 mL each

Specimen Minimum Volume:  1 mL of plasma

 

Collection requirements for Troponin T High-Sensitivity Series

2hr - Collected > 90 mintues and no more than 180 mintues from baseline draw,

4hr - Collected > 180 (3 hours) and no more than 300 mintues (5 hours) from baseline draw,

6hr - Collected > 300 ( 5 hours) and no more than 420 mintues (7 hours) from baseline draw.

 

Lipid Reflex Criteria  

  1. Any 2hr, 4hr or 6hr delta Trop T hs < -19 ng/L
  2. Any 2hr, 4hr or 6hr pct delta Trop T hs < -19 %
  3. Any 2hr, 4hr or 6hr delta Trop T hs > 19 ng/L
  4. Any 2hr, 4hr or 6hr pct delta Trop T hs > 19%
  5. Patient > 18 years old
  6. Within 14 days on the current encounter

 

Lab instructions: NA

Day(s)/Shift(s) Test Set Up and Turnaround Time

Sunday through Saturday

Hours: 24 hours

 

Turnaround Time:

STAT: 60 minutes

Routine: less than 4 hours from receipt

Transport and Stability

Transport temperature: Ambient to lab

Reference Values

Troponin T hs Standalone:

   

Age

Sex

cTnT (ng/L)

0-1 mo

M

20-100

0-1 mo

F

20-100

>1-6 mo

M

39

>1-6 mo

F

39

>6mo-1y

M

19

>6mo-1y

F

19

>1-15y

M

13

>1-15y

F

13

>15y

M

22

>15y

F

14

Timed Troponin T hs:                       

  Test Name Reference Range Critical Values
hs Trop T baseline, 2H, 4H or 6H Male: < 22 >200 ng/L
Female < 14
hs Trop T 2H Delta absolute   Critical Value when delta is +10
hs Trop T 2H Delta interpretation   Critical Value when interp. is Significant
hs Trop T 4H Delta absolute   Critical Value when delta is +11
hs Trop T 4H Delta interpretation   Critical Value when interp. is Significant
hs Trop T 6H Delta absolute   Critical Value when delta is +12
hs Trop T 2, 4 or 6H Delta %   Critical Value when delta is +20% 
hs Trop T 2, 4 or 6H Delta % interp.   Critical Value when interp. is Significant

Interpretive Data

Mega doses of Biotin (greater than 100 to 300 mg/day) may intefere with some troponin assays causing them to have a false low result.  Please contact the laboratory for further information if this is a concern.

For further hscTnT resources including the diagnostic algorithm and an aid in interpretation, copy and paste this link:

https://nrl.testcatalog.org/show/hsTrop

 

Current Interpretive Data last revised 11/09/2020.