Troponins I and T are considered superior cardiac markers for several reasons. The most significant is that cardiac troponins are the only markers specific for heart muscle. Other markers also increase following damage to other muscles.
While these markers have been used mainly to aid in the diagnosis of chest-pain patients with nondiagnostic electrocardiograms, they are also used as prognostic indicators of a MI
Both troponin T and I are cardiac markers used to diagnose myocardial infarctions.
CKMB and Troponin marker tests are used for diagnosis of a myocardial infarction. (heart attack). Keeping in mind that a positive blood marker is but one of three criteria used. For a diagnosis of an MI two of three criteria must be met. 1. positive elevation of the st segment in an ECG, 2. Symptoms consistent with myocardial infarction and/or 3. a positive troponin or CKMB. CKMB measures creatine kinase. This is a by product in blood from muscle damage. As the heart is a muscle this can be indicative of cardiac damage. This test is less reliable than a troponin test as results can be altered by other muscle damage. CKMB is not cardiac specific. Troponin is now the most commonly used test for cardiac damage. It is cardiac specific.
cardiac troponin I tests measure only cardiac troponin; tests for cardiac troponin T may cross-react with troponin found in other muscles and give positive or increased results in the absence of heart damage.
cardiac
Troponin is a cardiac enzyme that your heart releases under stress.
both subunit serve different functions troponin t binds to tropomyosin, interlocking them to form a troponin-tropomyosin complex... TnT or troponin t is increased in a subset of patients with unstable angina, and these may be at higher risk for subsequent cardiac events and is also a cardiac-specific protein released during cell injury such as that following acute myocardial infarction (MI).... while troponin i binds to actin in thin myofilaments to hold the troponin-tropomyosin complex in place and it has also been identified as an early and and specific marker in cardiac disease and it also elevates above the reference range within 6 hours of the onset chest pain then peaks at approximately 12 hrs. and can remain increased for up to 144 hrs. after the onset of any symptoms or, Troponin T is a Strip test whereas Troponin I is a lab test which is more sensitive
Emily Jane Austin has written: 'Characterisation of the interaction sites between Troponin T and Troponin C of the Troponin complex from human cardiac muscle'
Troponin and CK MB
The enzymes that would indicate that a negative cardiac event has occurred are creatinephosphokinase and creatine kinase. Also the proteins troponin I and troponin T would also be elevated in the blood.
Cardiac marker tests identify blood chemicals associated with myocardial infarction (MI), commonly known as a heart attack.
Cardiac enzymes and troponin levels do not elevate anything. Rather, when you have a heart attack (MI), they are elevated. Unlike damage to any other muscle in your body, damage to the cardiac muscle causes the release of specific cardiac enzymes. Therefore, if they are elevated, you had damage to your heart (i.e. heart attack). I disagree with the above: If both are elevated then you may have had a heart attack but, if cardiac enzymes alone are elevated and not troponin levels then you will not have had a heart attack. That's my personal experience. Troponin levels are now considered a more accurate indicator of damage to the heart muscle as a result of a heart attack than cardiac enzymes which can apply to any other muscle group rather than the heart. In fact to use the word 'cardiac' in this context is misleading because if you sprain your ankle for instance 'cardiac' enzymes will be released into the blood! So, where is the connection between damage to your ankle and that of your heart? Both enzymes therefore need to be elevated to indicate heart damage reliably.
Cardiac troponin levels are usually too low to measure. Elevated troponin T levels indicate that there has been some form of damage to the heart.Strenuous exercise can also temporarily elevate troponin levels for a brief time. The effects of a heart attack would keep troponin T levels elevated for up to two weeks.