Cardiovascular disease testing on the Dimension Vista system: biomarkers of acute coronary syndromes

Clin Biochem. 2009 Sep;42(13-14):1444-51. doi: 10.1016/j.clinbiochem.2009.05.020. Epub 2009 Jun 10.

Abstract

Objectives: Performance characteristics of the LOCI cTnI, CK-MB, MYO, NTproBNP and hsCRP methods on the Dimension Vista System were evaluated.

Design and methods: Imprecision (following CLSI EP05-A2 guidelines), limit of quantitation (cTnI), limit of blank, linearity on dilution, serum versus plasma matrix studies (cTnI), and method comparison studies were conducted.

Results: Method imprecision of 1.8 to 9.7% (cTnI), 1.8 to 5.7% (CK-MB), 2.1 to 2.2% (MYO), 1.6 to 3.3% (NTproBNP), and 3.5 to 4.2% (hsCRP) were demonstrated. The manufacturer's claimed imprecision, detection limits and upper measurement limits were met. Limit of Quantitation was 0.040 ng/mL for the cTnI assay. Agreement of serum and plasma values for cTnI (r=0.99) was shown. Method comparison study results were acceptable.

Conclusions: The Dimension Vista cTnI, CK-MB, MYO, NTproBNP, and hsCRP methods demonstrate acceptable performance characteristics for use as an aid in the diagnosis and risk assessment of patients presenting with suspected acute coronary syndromes.

MeSH terms

  • Acute Coronary Syndrome / blood*
  • Acute Coronary Syndrome / diagnosis
  • Biomarkers / blood*
  • C-Reactive Protein / analysis
  • Cardiovascular Diseases / blood*
  • Cardiovascular Diseases / diagnosis
  • Creatine Kinase, MB Form / blood
  • Humans
  • Immunoassay / instrumentation
  • Immunoassay / methods*
  • Myoglobin / blood
  • Natriuretic Peptide, Brain / blood
  • Peptide Fragments / blood
  • Reproducibility of Results
  • Risk Assessment
  • Sensitivity and Specificity
  • Troponin I / blood

Substances

  • Biomarkers
  • Myoglobin
  • Peptide Fragments
  • Troponin I
  • pro-brain natriuretic peptide (1-76)
  • Natriuretic Peptide, Brain
  • C-Reactive Protein
  • Creatine Kinase, MB Form