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Medicine General 5a6dd5af

Troponin-T is preferable to CPK-MB in the diagnosis of acute myocardial infarction (MI) in all of the following situations, EXCEPT:

A
Bedside diagnosis of MI
B
Postoperatively (after CABG)
C
Reinfarction after 4 days
D
Small infarcts
High-Yield Explanation
Levels of Troponin-I (TnI ) and Troponin-T (TnT) may remain elevated for 7-10 days after STEMI. So it is not useful fohe diagnosis of reinfarction after 4 days. In all the other mentioned conditions Troponin-T is preferable to CPK-MB. CPK-MB rises within 4-8 h and generally returns to normal by 48-72 h. Ref: Harrisons principles of internal medicine, 18th edition, Page: 2024.

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