Document Detail


Different prognostic importance of elevated troponin I after percutaneous coronary intervention in acute coronary syndrome and stable angina pectoris.
MedLine Citation:
PMID:  18569954     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To investigate the prognostic importance of cardiac troponin I (cTnI) elevation after percutaneous coronary intervention (PCI) in different clinical settings. DESIGN: The study includes 238 patients presenting with acute coronary syndrome (ACS) and 194 patients with stable angina pectoris (SAP). The composite end point of death or hospitalization due to non-fatal myocardial infarction, repeated revascularization or unstable angina, was determined during one year of follow-up. RESULTS: cTnI elevation after PCI was more frequent in ACS patients than SAP patients. ACS patients with cTnI elevation after PCI had significantly higher number of events than patients with unchanged cTnI status after PCI. SAP patients had generally lower event rate than ACS patients. The event rate was also significantly higher among ACS patients than SAP patients at comparable degrees of cTnI elevation after PCI. There was no difference in events among SAP patients with or without cTnI elevation after PCI. CONCLUSION: cTnI elevation after PCI predicts adverse outcome after one year in patients with ACS, but not in patients with SAP.
Authors:
Jørgen Gravning; Thor Ueland; Lars Mørkrid; Knut Endresen; Lars Aaberge; John Kjekshus
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Scandinavian cardiovascular journal : SCJ     Volume:  42     ISSN:  1401-7431     ISO Abbreviation:  Scand. Cardiovasc. J.     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-06-23     Completed Date:  2008-10-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9708377     Medline TA:  Scand Cardiovasc J     Country:  England    
Other Details:
Languages:  eng     Pagination:  214-21     Citation Subset:  IM    
Affiliation:
Institute for Surgical Research, Rikshospitalet University Hospital, Oslo, Norway. j.a.gravning@medisin.uio.no
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MeSH Terms
Descriptor/Qualifier:
Acute Coronary Syndrome / metabolism,  mortality,  therapy*
Aged
Angina Pectoris / metabolism,  mortality,  therapy*
Angioplasty, Transluminal, Percutaneous Coronary / adverse effects*
Biological Markers / blood
Cardiovascular Diseases / etiology*,  metabolism,  mortality
Female
Hospitalization
Humans
Male
Middle Aged
Predictive Value of Tests
Retrospective Studies
Risk Assessment
Time Factors
Treatment Outcome
Troponin I / blood*
Up-Regulation
Chemical
Reg. No./Substance:
0/Biological Markers; 0/Troponin I

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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