about the current use of cardiac markers to support critical
decision making in the treatment of patients suspected of myocardial
meeting was hosted by Lori Pettit and Susan Swanek both Quality
Improvement/POCT specialists from the Geisinger Health System.
Lori began by stating some opening remarks and requested
everyone to introduce themselves and state their POCT wish for
following is a condensed version of our wish list:
on the nursing floors
time to do POCT
to label all vials appropriately
chances to network and learn from one another
had the distinguished pleasure of hearing about cardiac markers from
Dr. Laurence M. Demers, PhD., DABCC, FACB who is a Professor of
Pathology and Medicine and the Director of Clinical Chemistry,
Central Processing, Core Endocrinology Laboratory and the Automated
Testing Laboratory at the Penn Ste University, Milton S. Hershey
Laurence M. Demers
Demers gave us an in-depth view of cardiac markers.
Some of the highlights he emphasized include information on
the evolving process of myocardial Infarctions by determining what
elements help to make a diagnosis.
He discussed the stand the AHA has made on determining an MI.
He discussed the idea behind early detection and how
important the first 4-6 hours are after an episode.
He mentioned therapies for MI and unstable angina.
He discussed the ERs role in diagnosis and the fact that
chest pain evaluation, ECG and markers are essential.
therapy of either I or T types was the next area of discussion.
Dr. Demers talked about the current state of specificity of
these markers and that the next generations need to be even more
sensitive in the early hours. He
stressed the need for very rapid TAT to properly diagnose the MI.
POCT and the
troponin cardiac markers was the next area of discussion. Dr. Demers
showed us statistics reflecting the increase in the use of cardiac
markers from 1999 to 2000. Not
only is the ER using these markers, but the OR, Stat Labs and OPD
departments are as well.
last topic discussed was that of the CRP and its role as a
prognostic marker of CHD and how it can help with clinical
were a lot of great questions and the group felt very informed about
cardiac markers in general and what’s to come down the road for
Haus from Dade Behring presented some interesting statistics about
the Status-CS cardiac marker instrument his company sells.
He gave us each a packet which included several pieces of
literature telling of the instrument functionality.
Many thanks to Dade Behring for proving lunch for the KEYPOCC
Pettit then lead our discussion on the 2001 KEYPOCC meetings:
elected a new Treasurer: Beverly
McAllister from Ephrata who will collect the $25 annual fee we
decided upon for the year 2001.
This membership fee will help offset some of the costs
Hershey currently swallows. This
fund could help pay for AV rental/stationary/postage/speakers etc.
Any guests who did not pay the $25 annual fee can pay a $10/meeting.
More information on this will be sent out within the next
The new secretary
for 2001 is Marcy Anderson. Any
late comers to the next meeting will automatically be appointed this
topic for the next meeting is New/Non-invasive technology for the
individuals are researching this and getting back to Mary Ann from