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Titolo:
Troponin and other cardiac markers: role in management of acute coronary syndromes
Autore:
Ohman, EM;
Indirizzi:
Duke Clin Res Inst, Durham, NC 27715 USA Duke Clin Res Inst Durham NC USA27715 lin Res Inst, Durham, NC 27715 USA
Titolo Testata:
AUSTRALIAN AND NEW ZEALAND JOURNAL OF MEDICINE
fascicolo: 3, volume: 29, anno: 1999,
pagine: 436 - 443
SICI:
0004-8291(199906)29:3<436:TAOCMR>2.0.ZU;2-S
Fonte:
ISI
Lingua:
ENG
Soggetto:
ACUTE MYOCARDIAL-INFARCTION; CHRONIC-RENAL-FAILURE; ACUTE CHEST PAIN; RISK STRATIFICATION; CREATINE-KINASE; SKELETAL-MUSCLE; UNSTABLE ANGINA; ARTERY DISEASE; T LEVELS; SPURIOUS RISES;
Keywords:
prognosis; acute coronary syndromes; risk stratification; troponins;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
56
Recensione:
Indirizzi per estratti:
Indirizzo: Ohman, EM Duke Clin Res Inst, POB 17969, Durham, NC 27715 USA Duke Clin Res Inst POB 17969 Durham NC USA 27715 m, NC 27715 USA
Citazione:
E.M. Ohman, "Troponin and other cardiac markers: role in management of acute coronary syndromes", AUST NZ J M, 29(3), 1999, pp. 436-443

Abstract

Many adjuncts to the traditional history, physical examination, and baseline ECG have been developed to improve the differential diagnosis of acute coronary syndromes in the Emergency Department (ED). These include serial ECGs, continuous ST-segment monitoring, and serum markers of myocardial necrosis. In general, the serum markers of coronary ischaemia, particularly the troponins, provide the most information toward initial and later risk stratification. Serial marker measures not only increase the sensitivity and negative predictive value for acute infarction (thus reducing hospital costs) but also can add to prognostic ability. More importantly, a positive markerresult indicates an increased risk of an early event, which could allow earlier intervention and thus a better outcome.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/07/20 alle ore 03:45:45