Cut off endorsement in AMI

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Aug 6th, 2022
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How to cut off endorsement in AMI

4.6 out of 5
55 votes

i just want to thank everybody for being here my name is john watts iamp;#39;m a consumer protection lawyer and weamp;#39;re going to talk all about how to identify the errors on credit reports and this is not going to be you listening to me this is going to be weamp;#39;re going to put some stuff up on the screen and just all look at this together and see if we can identify the errors together so let me do a little bit of uh sort of background just to get us started here and again thank you everybody for being here lots of comments and uh just uh really good to have everybody on here so iamp;#39;m not gonna take very long to do this but i just want you to see kind of the delay of the land before we get into the credit reports because i want you to understand what weamp;#39;re dealing with what our options are with the law so youamp;#39;ll notice this is from just last month so this is not five years ago or ten years ago this is the cfpb consumer financial protection bureau last

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Reference values The 99th percentile cutoff for cardiac troponin T (cTnT) is 0.01 ng/mL. The reference range for the high sensitivity troponin T is a normal 14 ng/L, borderline of 14-52 ng/L, and elevated of 52 ng/L.
For troponin concentrations 0.40 ng/mL and higher, the underlying cardiac injury is usually a myocardial infarction.
Troponin test result ranges The reference ranges for the troponin test, ing to the American Board of Internal Medicine, are measured in nanograms per milliliter (ng/mL). They are: Troponin I: 0 - 0.04 ng/mL. Troponin T: 0 - 0.01 ng/mL.
Normal (hs Troponin T 14ng/l) A result of
An elevated and actionable value of hs TnI is 100 pg/mL for males and 75 pg/mL for females, and indicates an increased likelihood of myocardial damage. The troponin values should be evaluated in the context of the patients Heart Score to aid in clinical management (See Tables 1 and 2).
For example, the normal range for troponin I is between 0 and 0.04 ng/mL but for high-sensitivity cardiac troponin (hs-cTn) normal values are below 14ng/L. Other types of heart injury may cause a rise in troponin levels. These include: Atrial fibrillation.
The manufacturers upper reference level for troponin T is 14 ng/L. Based on the meta-analyses, cut-off values for troponin in patients with renal impairment with myocardial infarction was 42 ng/L for troponin I and 48 ng/L for troponin T. For patients on dialysis the troponin T cut-off is even higher at 239 ng/L.
We have proposed a cut-off value of 100 ng/L as diagnostic for acute myocardial injury in the absence of end-stage renal disease and AMI in ischemic patients. If one extrapolates this cut-off to chest-pain patients, it accurately predicts AMI with a positive predictive value of 90% and the specificity 99%.

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