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Titolo:
Elevated cardiac troponin levels do not predict adverse outcomes in hospitalized patients without clinical manifestations of acute coronary syndromes
Autore:
Barasch, E; Kaushik, V; Gupta, R; Ronen, P; Hartwell, B;
Indirizzi:
Univ Texas, Sch Med, Houston, TX 77030 USA Univ Texas Houston TX USA 77030 niv Texas, Sch Med, Houston, TX 77030 USA Hermann Hosp, Houston, TX USA Hermann Hosp Houston TX USAHermann Hosp, Houston, TX USA Baylor Coll Med, Houston, TX 77030 USA Baylor Coll Med Houston TX USA 77030 ylor Coll Med, Houston, TX 77030 USA
Titolo Testata:
CARDIOLOGY
fascicolo: 1-2, volume: 93, anno: 2000,
pagine: 1 - 6
SICI:
0008-6312(2000)93:1-2<1:ECTLDN>2.0.ZU;2-H
Fonte:
ISI
Lingua:
ENG
Soggetto:
ACUTE MYOCARDIAL-INFARCTION; CONGESTIVE-HEART-FAILURE; CRITICALLY ILL PATIENTS; ARTERY BYPASS-SURGERY; CHRONIC-RENAL-FAILURE; CREATINE KINASE-MB; PROGNOSTIC VALUE; CHRONIC DIALYSIS; UNSTABLE ANGINA; FOLLOW-UP;
Keywords:
troponins, cardiac; prognostic value;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
43
Recensione:
Indirizzi per estratti:
Indirizzo: Barasch, E Univ Texas, Hlth Sci Ctr, 6431 Fannin,MSB 1-246, Houston, TX 77030 USA Univ Texas 6431 Fannin,MSB 1-246 Houston TX USA 77030 77030 USA
Citazione:
E. Barasch et al., "Elevated cardiac troponin levels do not predict adverse outcomes in hospitalized patients without clinical manifestations of acute coronary syndromes", CARDIOLOGY, 93(1-2), 2000, pp. 1-6

Abstract

The prognostic significance of elevated cardiac troponin levels (CTL) in hospitalized patients with no other evidence of myocardial ischemia or injury is largely unknown. Fifty patients (mean age 61 +/- 15 years, 15 women) out of 580 consecutive hospitalized patients were selected based on normal CK-MB and at least 3-fold increase of CTL. The medical charts of these patients were reviewed and a 1-year follow-up was performed. The most frequent admission diagnoses were exacerbation of congestive heart failure (22%), stroke (20%) followed by respiratory failure (6%), cirrhosis (6%), gastrointestinal bleeding (6%), end-stage renal disease (4%), atrial fibrillation (4%)and metastatic malignancies (4%). Abnormal CTL prompted a cardiology consult in 48% of patients, an echocardiogram in 44%, myocardial perfusion studyin 10% and coronary angiography in 1 patient. Of 21 deaths, only 1 was related to an acute coronary event. The measurement of CTL in patients withoutdefinite clinical or electrocardiographic evidence of myocardial ischemia and with a wide spectrum of clinical diagnoses does not predict in-hospitaland at 1 year cardiovascular complications and/or cardiac death. Copyright(C) 2000 S. Karger AG, Basel.

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Documento generato il 05/07/20 alle ore 22:28:02