Troponin Elevation in Sickle Cell Disease
| Autor: | Thomas R. Smith, Pratap Reddy, Nuri I. Akkus, Jeffrey Hilbun, Saurabh Rajpal, George Mina, Ashish Dwary |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Hypertension Pulmonary Population Anemia Sickle Cell Hematocrit Chest pain Internal medicine Troponin I medicine Humans Platelet education Retrospective Studies education.field_of_study Original Paper medicine.diagnostic_test biology business.industry Bilirubin General Medicine medicine.disease Pulmonary hypertension Troponin biology.protein Cardiology Female Hemoglobin medicine.symptom business Biomarkers |
| Zdroj: | Med Princ Pract |
| ISSN: | 1423-0151 |
| Popis: | Objective: Sickle cell disease is associated with cardiovascular abnormalities. Troponin is not typically measured in this population, and thus the significance of abnormal levels of troponin is unknown. We wanted to evaluate the use of troponin and factors that predispose troponin elevation in patients admitted with sickle cell pain crisis (SCPC). Methods: We reviewed data of consecutive patients admitted to a tertiary care hospital between 2006 and 2011 with a diagnosis of SCPC. Subjects with elevated troponin (ET) (troponin I >0.04 ng/mL) were compared with those with normal troponin (NT) for demographics, risk factors, presence of echocardiography-derived tricuspid regurgitant jet velocity (TRV) ≥3 m/s suggesting pulmonary hypertension, and laboratory tests. The Mann-Whitney U test was used to compare groups. Results: Two hundred eighty-three of 724 patients admitted with SCPC had chest pain. Troponin I was measured in 63 patients: 51 had NT and 12 had ET ranging from 0.06 to 3.42 ng/ml. ET was associated lower hemoglobin (p = 0.02), lower hematocrit (p = 0.02), lower platelet number (p < 0.001), higher LDH (p = 0.012), higher AST levels (p = 0.004), higher bilirubin levels (p = 0.006), and TRV ≥3 m/s (p = 0.028). Conclusions: Troponin was measured in |
| Databáze: | OpenAIRE |
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