High Sensitivity
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2021 ◽  
Vol 39 (6) ◽  
pp. 063210
Raivathari M. Singhania ◽  
Henry Price ◽  
Vaneck Y. Kounga ◽  
Benjamin Davis ◽  
Philipp Brüner ◽  

2021 ◽  
Vol 27 (3) ◽  
pp. 43-54
Tchavdar Shalganov ◽  
Milko Stoyanov

The catheter ablation of cardiac arrhythmias causes myocardial destruction and increase of the cardiac troponin and C-reactive protein (CRP). Data regarding dynamics of high-sensitivity troponin during irrigated ablation are scarce, and for diagnostic electrophysiological studies (EPS) are lacking. We aimed to study the periprocedural dynamics of high-sensitivity cardiac troponin I (hscTn I) and CRP, as well as their relation to different procedural parameters during EPS and ablation of various arrhythmias. Material and methods: Consecutive patients with EPS or ablation performed were studied prospectively. Clinical and procedural characteristics, and pre- and postprocedural values of hscTn I and CRP are presented at days 1, 2 and 3. Six indices were chosen as procedural markers of induced myocardial injury. P-value < 0.05 was accepted as statistically signifi cant for all tests performed. Results: Eight EPS and 98 ablations were performed in 103 patients (58 males, 56.3%). For ablations the baseline values of hscTn I at day 1 were 3.2 ng/L (1.7-4.93), while postprocedural values at days 2 and 3 were 500 ng/L (269-1044) and 404 ng/L (179-1017), р < 0.05 for all days. Postprocedural hscTn I values were moderately to strongly correlated to radiofrequency (RF) energy, time and number of RF applications. Postprocedural increase of CRP was also significant, but its magnitude was much smaller. Its correlation to procedural indices was weak. For EPS the baseline values of hscTn I were 5.95 ± 5.34 ng/L (0.6-15.9), while for the next 2 days these were 53.2 ± 43.1 ng/L (13.3-144) и 16.7 ± 9.65 ng/L (3.3-30.9), р < 0.05 for all days. Conclusion: Signifi cant postprocedural increase of hscTn I was detected in all electrophysiology procedures – EPS and ablations. This increase was more pronounced and prolonged to at least the next day after ablation. It was clearly correlated to the cumulative RF energy, RF time and number of RF applications. Early increase of CRP was also signifi cant, but to a lesser magnitude and in weak correlation to the procedural parameters.

2021 ◽  
Jinlei Hu ◽  
Yulan Huang ◽  
Yuxuan Chen ◽  
Zhengda Hu ◽  
Jingjing Wu ◽  

2021 ◽  
Vol 49 (7) ◽  
pp. 536-544
Ajar Kocak ◽  
Serkan Unlu ◽  
Gokhan Gokalp ◽  
Niyazi Samet Yilmaz ◽  

Nicole A. Vander Schaaf ◽  
Anthony J. Fund ◽  
Brianna V. Munnich ◽  
Alexi L. Zastrow ◽  
Erin E. Fund ◽  

This study highlights the utility of routine testing for SARS-CoV-2 using pooled saliva while maintaining high sensitivity of detection (under 2,500 copies/ml) and rapid turnaround of high volume (up to 930 samples in 8 h by two technicians and one quantitative PCR [qPCR] machine). This pooled approach allowed us to test all residential students 1 to 2 times per week on our college campus during the spring of 2021 and flagged 83% of our semester positives.

Micromachines ◽  
2021 ◽  
Vol 12 (10) ◽  
pp. 1238
Yan Chen ◽  
Wenpeng Liu ◽  
Hao Zhang ◽  
Daihua Zhang ◽  
Xiaoliang Guo

Low-abundance biomolecule detection is very crucial in many biological and medical applications. In this paper, we present a novel electrolyte-gated graphene field-effect transistor (EGFET) biosensor consisting of acoustic tweezers to increase the sensitivity. The acoustic tweezers are based on a high-frequency bulk acoustic resonator with thousands of MHz, which has excellent ability to concentrate nanoparticles. The operating principle of the acoustic tweezers to concentrate biomolecules is analyzed and verified by experiments. After the actuation of acoustic tweezers for 10 min, the IgG molecules are accumulated onto the graphene. The sensitivities of the EGFET biosensor with accumulation and without accumulation are compared. As a result, the sensitivity of the graphene-based biosensor is remarkably increased using SMR as the biomolecule concentrator. Since the device has advantages such as miniaturized size, low reagent consumption, high sensitivity, and rapid detection, we expect it to be readily applied to many biological and medical applications.

Nanomaterials ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. 2679
Gour Mohan Das ◽  
Stefano Managò ◽  
Maria Mangini ◽  
Anna Chiara De De Luca

Surface-enhanced Raman spectroscopy (SERS) has become a powerful tool for biosensing applications owing to its fingerprint recognition, high sensitivity, multiplex detection, and biocompatibility. This review provides an overview of the most significant aspects of SERS for biomedical and biosensing applications. We first introduced the mechanisms at the basis of the SERS amplifications: electromagnetic and chemical enhancement. We then illustrated several types of substrates and fabrication methods, with a focus on gold-based nanostructures. We further analyzed the relevant factors for the characterization of the SERS sensor performances, including sensitivity, reproducibility, stability, sensor configuration (direct or indirect), and nanotoxicity. Finally, a representative selection of applications in the biomedical field is provided.

Medicina ◽  
2021 ◽  
Vol 57 (10) ◽  
pp. 1083
Taekyung Kang ◽  
Gwang Sil Kim ◽  
Young Sup Byun ◽  
Jongwoo Kim ◽  
Sollip Kim ◽  

Background and Objectives: High-sensitivity cardiac troponin I (hs-TnI) is an important indicator of acute myocardial infarction (AMI) among patients presenting with chest discomfort at the emergency department (ED). We aimed to determine a reliable hs-TnI cut-off by comparing various values for a baseline single measurement and an algorithmic approach. Materials and Methods: We retrospectively reviewed the hs-TnI values of patients who presented to our ED with chest discomfort between June 2019 and June 2020. We evaluated the diagnostic accuracy of AMI with the Beckman Coulter Access hs-TnI assay by comparing the 99th percentile upper reference limits (URLs) based on the manufacturer’s claims, the newly designated URLs in the Korean population, and an algorithmic approach. Results: A total of 1296 patients who underwent hs-TnI testing in the ED were reviewed and 155 (12.0%) were diagnosed with AMI. With a single measurement, a baseline hs-TnI cut-off of 18.4 ng/L showed the best performance for the whole population with a sensitivity of 78.7%, specificity of 95.7%, negative predictive value (NPV) of 97.1%, and positive predictive value (PPV) of 71.3%. An algorithm using baseline and 2–3 h hs-TnI values showed an 100% sensitivity, 97.7% specificity, an NPV of 100%, and a PPV of 90.1%. This algorithm used a cut-off of <4 ng/L for a single measurement 3 h after symptom onset or an initial level of <5 ng/L and a change of <5 ng/L to rule a patient out, and a cut-off of ≥50 ng/L for a single measurement or a change of ≥20 ng/L to rule a patient in. Conclusions: The algorithmic approach using serial measurements could help differentiate AMI patients from patients who could be safely discharged from the ED, ensuring that patients were triaged accurately and did not undergo unnecessary testing. The cut-off values from previous studies in different countries were effective in the Korean population.

2021 ◽  
Min-Ji Lee ◽  
Seon-Pyo Hong

Abstract Radix Angelicae Dahuricae is a traditional Chinese medicine. We developed a high-sensitivity method for detection of furanocoumarins in Radix Angelicae Dahuricae and Gumiganghwal-tang (GMGHT). The six furanocoumarins of Radix Angelicae Dahuricae were sonication-extracted from 50% ethanol for 60 min. Six furanocoumarins were separated through a gradient elution system. The limits of detection of the components were 0.002–0.3 ng (0.2–30 ng/mL). The coefficients of determination were 0.9995–1.0000, all inter-day and intra-day precision values were < 4.9%, and the mean recoveries and relative standard deviations were 96.4%–104.5% and 0.5%–4.8% for Radix Angelicae Dahuricae extract, respectively. Our method does not require any pretreatment steps and exhibits good reproducibility, selectivity, and sensitivity. Therefore, our method will contribute to a Radix Angelicae Dahuricae quality control measure.

youpeng yang ◽  
yafei qin ◽  
xinyu lu ◽  
yu zeng

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