Table 2.
This table illustrates the wide variation in troponin-I and troponin-T assays, troponin values, and study sizes. Although not directly comparable, we have converted the levels to [ng/L] here for simplicity. Peak troponin values in high-dose chemotherapy studies reached 1980 ng/L; peak values in low-dose studies 11–120 ng/L; study sizes ranged from 19 to 703 participants. Studies routinely classified 30–40% of patients as ‘troponin-positive’ across various generations of troponin assays with differing cut off values. (TnI = troponin-I, TnT = troponin-T)
Study | Patient mix | M:F Age | Trop+/ sample size (% positive) | Baseline Trop+ | Tn values (ng/L) | Troponin Cut off (as ng/L) | Troponin assay |
---|---|---|---|---|---|---|---|
Cardinale 2000 [50] | Advanced cancer high dose chemoi | 39:165 45 ± 10y | 65/204 (32%) | 0% | 1000 ± 400 Delta EF -18% | 500 | Stratus II TnI |
Cardinale 2002 [51] | Breast CA with HDC2 | 211 F 46 ± 11y | 70/211 (33% ) | 0% | 900 ± 500 | 500 | Stratus II TnI |
Cardinale 2004 [48] | Advanced cancer with high dose chemo | 216:487 47 ± 12y | 208/703 (30% ) | 0% | E: 160 ± 240 Event 1%, 37%, 84% See below | 80 | Stratus CS Tn I |
Sandri 2003 [52] | Advanced cancer high dose chemo | 42:137 47 ± 11y | (32% ) Delta EF −18% | 1% | tn + 630 ± 540 [80–1980] tn neg =39 ± 19 | 80 | Stratus II CS Tn I |
Auner 2003 [47] | Haematological adults | 32:46 58y | 78 (15% ) Delta EF >10% | 0% | Med 40; [30–120] | 30 | Roche ElecIII TnT |
Lipshultz [53] | ALL children Dox v Dex + Dexraz RCT | 120:86 7.4 y | 55/158 (35%). | 12/119 a (10%) | Tn + 50% Tn++32% Dex 21%, 10% | 10 + 25++ | Roche ElecsysTnT |
Kilickap 2005 [49] | Advanced haem CA with high dose chemo | 20:21 44y | (34%) | N = 1 (16 ng/L) | 10? 100 Error in paper | Roche ElecIIITnT | |
Haney [54] | Breast CA | 22 F | 41% (9/22) | n/a | Peak 60 ng/L Cycle 6: 50% Tn+ | Tn+ > 12 ng/L; TnT+ 22/ samples 91 | Roche TnT |
Katsurada [55] | Breast CA anthracycline + Herceptin | 19F only Age N/A | N = 19 hsTnT values | N/A | 11 +/− 7.8 4 +/− 1.4 | 14 | Roche hs-TnT |