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 Point of Care Testing to 
Power Growth 
Increasing Competition Highlights Need for Enhanced Customer Service 
The laboratory-based segment 
currently dominates the European acute cardiac diagnostics market. However, 
market development over the next few years will be driven primarily by the point 
of care testing (POCT) segment. As troponin testing becomes mainstream and 
demand for decentralised testing rises, contributions from the POCT segment are 
set to increase. 
At present, POCT comprises less 
than 15 per cent of the cardiac markers market and continues to grapple with 
long-standing issues such as high costs, precision and quality control. While 
technological advances will promote the growing reliability of point of care (POC) 
devices and support their effective use within cardiac care, costs too are 
expected to fall to levels where the benefits begin to outweigh the costs. 
"There has been limited 
qualitative assessment of cardiac parameters over the past two years and the 
total market for acute cardiac diagnostics has been predominantly driven by 
laboratory-based tests," notes Frost & Sullivan Healthcare Analyst Dr. Fiona 
Rahman. "POCT provides a panel of cardiac tests which has been received 
successfully by end users indicating that promising growth for this segment and, 
by extension, the overall market." 
As the deployment of POCT in 
the cardiac marker testing market expands, larger companies will start 
developing compact bench top devices. At the same time, the presence of 
technologies capable of linking satellite hospital equipment, such as POC 
diagnostic devices to central laboratory information management systems, will 
add further momentum to the uptake of POCT in acute care diagnostics. 
"The integration of POCT 
systems into a hospital department will encourage the ease of data management, 
says Dr. Rahman. "A machine that will not just run cardiac markers efficiently, 
but also incorporate bar codes for patient identification and links for 
management for patient information are required. Connectivity is essential for 
POCT and is key to its entrance into hospital markers." 
From $158.3 million in 2004, 
the total European acute cardiac diagnostics market is expected to increase to 
$224 million in 2008, at which stage 20 per cent of the revenues will derive 
from the POC market segment. In 2011, the total market is projected to amass 
$278.7 million with POC testing accounting for 24 per cent of these revenues. 
Technological improvements that 
are increasing the availability of cardiac marker tests are also propelling 
market growth. The analysers available today are faster and easier-to-use than 
those from five years ago. Moreover, currently available analysers possess the 
capability of integrating patient information and compiling a database based on 
patient medical history, test ordering and demographic data. 
Such positive trends are being 
supported by antibodies used to detect the cardiac proteins that are becoming 
progressively more specific and sensitive to cardiac tissue. Automation has 
improved the technical performance of the assay and helped reduce the total 
assay time as well as the overall costs of reagents. Over the next three years, 
these technological improvements will result in enhanced turnaround times, 
throughput and ease of which, in turn, will encourage heightened demand for 
cardiac markers. 
Government backing, actively 
promoting the use of new markers, has further strengthened domestic markets (in 
Germany, France and the United Kingdom). Sustained government support will 
continue to stimulate adoption as guidelines and protocols encouraging the 
employment of novel cardiac markers are fine-tuned and implemented to overcome 
scepticism from the medical community. 
As competition intensifies, 
market participants will be compelled to add value to their services. 
Manufacturers will need to educate end users about their products by training 
the company's sales representatives and field specialists within the clinical 
setting or recruiting medical professionals, such as cardiologists and 
clinicians. Investing in public relations, conducting conferences or focus 
groups that allow interfacing between the clinicians, laboratory technicians, 
cardiologists, administrators and product specialists will also encourage 
augmented acceptance of cardiac markers. 
For more details , contact : 
Radhika Menon Theodore, Corporate Communications, at
rmtheodore@frost.com  
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