HAEMATOLOGY
PROTHROMBIN TIME WITH INR
Prothrombin Time
16.7
Sec
12 - 16
Lab Control
13.0
Sec
ISI
1.1
Ratio
0.78
I.N.R
1.28
SEROLOGY
TROPONIN - T
NEGATIVE
NEGATIVE < 0.6 ng/ml
Comment

Troponin is attached to the protein tropomyosin and lies within the groove between actin filaments in muscle tissue. In a relaxed muscle, tropomyosin blocks the attachment site for the myosin crossbridge, thus preventing contraction. When the muscle cell is stimulated to contract by an action potential, calcium channels open in the myoplasmic membrane and release calcium into the myoplasm. Some of this calcium attaches to troponin which causes it to change shape, exposing binding sites for myosin (active sites) on the actin filaments. Myosin binding to actin forms cross bridges and contraction (cross bridge cycling) of the muscle begins.
Troponin is found in both skeletal muscle and cardiac muscle, but the specific versions of troponin differ between types of muscle. The main difference is that the TnC subunit of troponin in skeletal muscle has four calcium ion binding sites, whereas in cardiac muscle there are only three. The actual amount of calcium that binds to troponin varies from expert to expert and source to source.