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Sensitivity of unde...
Sensitivity of undetectable level of high-sensitivity troponin T at presentation in a large non-ST-segment elevation myocardial infarction cohort of early presenters
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- Ljung, Lina (författare)
- Karolinska Institutet
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- Reichard, Camilla (författare)
- Karolinska Inst, Danderyd Univ Hosp, Dept Clin Sci, SE-18288 Danderyd, Sweden
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- Hagerman, Peter (författare)
- Capio St Gorans Hosp, Dept Emergency Med, SE-11281 Stockholm, Sweden
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- Eggers, Kai M., 1962- (författare)
- Uppsala universitet,Uppsala kliniska forskningscentrum (UCR)
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- Frick, Mats (författare)
- Karolinska Institutet
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- Lindahl, Bertil, 1957- (författare)
- Uppsala universitet,Uppsala kliniska forskningscentrum (UCR),Kardiologi
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- Linder, Rikard (författare)
- Karolinska Institutet
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- Martinsson, Arne (författare)
- Capio St Gorans Hosp, Dept Emergency Med, SE-11281 Stockholm, Sweden
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- Melki, Dina (författare)
- Karolinska Univ Hosp, Heart & Vasc Theme, SE-14186 Stockholm, Sweden
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- Svensson, Per (författare)
- Karolinska Institutet
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- Jernberg, Tomas (författare)
- Karolinska Institutet
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(creator_code:org_t)
- Elsevier BV, 2019
- 2019
- Engelska.
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Ingår i: International Journal of Cardiology. - : Elsevier BV. - 0167-5273 .- 1874-1754. ; 284, s. 6-11
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- BACKGROUND: We aimed to evaluate the diagnostic sensitivity for myocardial infarction (MI) when using an undetectable level of high-sensitivity cardiac troponin T (hs-cTnT < 5 ng/L) at presentation combined with a non-ischemic electrocardiogram (ECG), to rule out MI in a non-ST-segment elevation MI (NSTEMI) cohort presenting ≤2 h from symptom onset. We also aimed to compare baseline characteristics and 30-day outcome in NSTEMI patients presenting with and without hs-cTnT < 5 ng/L.METHODS: All patients admitted to five centers in Sweden 2011-2015, after the introduction of hs-cTnT, who presented ≤2 h from symptom onset and received a final diagnosis of NSTEMI, were identified through the SWEDEHEART registry. These data and data of hs-cTnT levels were verified in the hospitals' medical records. The registry provided baseline and outcome data.RESULTS: Twenty-four (2.6%) of 911 NSTEMI patients presented with hs-cTnT < 5 ng/L. In patients presenting >1-≤2 h from symptom onset the sensitivity for MI when combining hs-cTnT and ECG was 99.4% (95% CI 98.4%-99.8%). In patients presenting ≤1 h, and in patients aged ≤65 years without prior MI, the sensitivity was insufficient. NSTEMI patients presenting with hs-cTnT < 5 ng/L were younger and had less often a prior MI. A total of 62.5 vs. 63.5% of the NSTEMI patients presenting with and without hs-cTnT < 5 ng/L underwent revascularization within 30 days and 4.5 and 3.2% died respectively.CONCLUSIONS: Hs-cTnT < 5 ng/L at presentation combined with a non-ischemic ECG may be used to rule out MI in patients presenting as early as >1 h from symptom onset with a sufficient sensitivity.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Nyckelord
- Diagnosis
- Emergency department
- High-sensitivity cardiac troponin
- Myocardial infarction
- Rule-out algorithm
- Sensitivity
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Till lärosätets databas
- Av författaren/redakt...
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Ljung, Lina
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Reichard, Camill ...
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Hagerman, Peter
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Eggers, Kai M., ...
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Frick, Mats
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Lindahl, Bertil, ...
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Linder, Rikard
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Martinsson, Arne
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Melki, Dina
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Svensson, Per
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Jernberg, Tomas
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