Raised cardiac troponin T levels in patients without acute coronary syndrome
| Autor: | E Rodrigues, A Robinson, A Ramsewak, C. van Heyningen, Scott W. Murray, Peter Wong |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Male
Acute coronary syndrome medicine.medical_specialty Cardiac troponin Coronary Disease macromolecular substances Patient Readmission Cohort Studies Troponin T Internal medicine Epidemiology medicine Myocardial Revascularization Humans In patient Myocardial infarction Hospital Mortality Aged Clinical Audit biology business.industry General Medicine musculoskeletal system medicine.disease Prognosis Troponin Death Sudden Cardiac biology.protein Cardiology Regression Analysis Female business Cohort study |
| Zdroj: | Postgraduate medical journal. 83(977) |
| ISSN: | 1469-0756 |
| Popis: | Objective To investigate the frequency, diagnosis and outcome of patients admitted to hospital with acute coronary syndrome (ACS) or other conditions associated with raised levels of cardiac troponin T. Design Observational study. Setting A large university hospital. Patients Consecutive patients admitted over an 8-week period who had a serum troponin T test as part of their clinical assessment were included. Patients were separated into those with raised (⩾0.01 μg/l) or normal ( Main outcome measures In-hospital mortality in all patients; and 6-month hospital re-admissions and all-cause mortality in patients without or with ACS and raised levels of troponin T. Results Of 1021 patients, 118 patients had no ACS but raised troponin T levels, 195 had ACS with raised troponin T, 80 had ACS with normal troponin T and 628 had no ACS with normal troponin T. Their in-hospital all-cause mortalities were 36%, 18%, 0% and 3%, respectively (p Conclusions Patients without ACS but with raised levels of troponin T comprised 38% of all hospitalised patients found to have raised troponin T. These patients had worse in-hospital and 6-month outcome than those having ACS with raised levels of troponin T. |
| Databáze: | OpenAIRE |
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