The prognostic value of troponin T and echocardiography in acute pulmonary edema
| Autor: | Moshe Gatt, Rina Boukhobza, A. Teddy Weiss, Yishay Ofran, Mario Baras, David Leibowitz |
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| Rok vydání: | 2005 |
| Předmět: |
Male
medicine.medical_specialty Heart Ventricles Volume overload Pulmonary Edema Ventricular Function Left Troponin T Predictive Value of Tests Internal medicine Troponin I Humans Medicine Aged Retrospective Studies Heart Failure biology business.industry Retrospective cohort study Prognosis Pulmonary edema medicine.disease Troponin Echocardiography Heart failure Predictive value of tests Acute Disease Cardiology biology.protein Female Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | International Journal of Cardiology. 99:247-251 |
| ISSN: | 0167-5273 |
| DOI: | 10.1016/j.ijcard.2004.01.025 |
| Popis: | Elevated levels of troponin T have been demonstrated in number of studies to be a strong, independent prognostic indicator in patients with acute coronary syndromes [1–7]. In acute and chronic heart failure increased serum levels of troponin I and troponin Twere also found to correlate with a poorer prognosis [8–12]. A recent report has documented an overall poor prognosis in patients with acute pulmonary edema and elevated troponin T levels [13]. While pulmonary edema may often be secondary to acute ischemia, other causes such as hypertensive crisis and volume overload may precipitate decompensated heart failure and pulmonary edema [1]. Distinguishing ischemia-induced pulmonary edema from pulmonary edema due to other causes is a difficult clinical challenge with important implications for clinical management [14–17]. In the clinical setting of pulmonary edema, echocardiography is an important diagnostic tool to assess prognosis and treatment. The role of echocardiography in determining prognosis and treatment is well established in patients with chronic heart failure; however, little is known about its role in patients with acute pulmonary edema. In addition, the relationship between left ventricular function as assessed by echo and elevated troponin T as predictors of adverse prognosis remains unclear. The objective of this study was to determine the individual and additive prognostic value of assessment of left ventricular function by echocardiography and serum troponin T levels in patients presenting with acute pulmonary edema. |
| Databáze: | OpenAIRE |
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