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. 2017 Feb 9;31(1):63–75. doi: 10.1007/s10557-016-6711-0

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