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Admission Troponin ...
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Björklund, ErikUppsala universitet,Institutionen för medicinska vetenskaper,Kardiologi
(författare)
Admission Troponin T and measurement of ST-segment resolution at 60 min improve early risk stratification in ST-elevation myocardial infarction
- Artikel/kapitelEngelska2004
Förlag, utgivningsår, omfång ...
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Oxford University Press (OUP),2004
Nummerbeteckningar
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LIBRIS-ID:oai:gup.ub.gu.se/56560
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https://gup.ub.gu.se/publication/56560URI
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-93678URI
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https://doi.org/10.1016/j.ehj.2003.10.025DOI
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
Anmärkningar
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AIMS: The prognostic value of admission troponin T (tnT) levels and the resolution of the ST-segment elevation in ST-elevation myocardial infarction (STEMI) is well established. However, the combination of these two early available markers for predicting risk has not been evaluated. METHODS AND RESULTS: We evaluated 516 patients with fibrinolytic treated STEMI from the ASSENT-2 and ASSENT-PLUS studies, which had both admission tnT and ST-monitoring available. We used a prospectively defined cut-off value of tnT of 0.1microg/l. For ST-segment resolution, a cut-off of 50% measured after 60min was used. Both a tnT >/=0.1microg/l (n=116) and ST-segment resolution <50% (n=301) were related to higher one-year mortality, 13% vs 4% (P<0.001) and 8.4% vs 2.8% (P=0.009), respectively. In a multivariate analysis ST-segment resolution was and tnT showed a strong trend to be independently related to mortality. The combination of both further improved risk stratification. The one-year mortality in the group with elevation of tnT and without ST-segment resolution compared to the group without tnT elevation and with ST-segment resolution was 18.2% vs 2.8% (P<0.001). CONCLUSIONS: Both tnT on admission and ST-segment resolution after 60min are strong predictors of one-year mortality. The combination of both gives additive early information about prognosis and further improves risk stratification.
Ämnesord och genrebeteckningar
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Arrhythmia/*diagnosis/mortality
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Electrocardiography
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Female
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Hospitalization
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Humans
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Male
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Middle Aged
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Myocardial Infarction/*blood/mortality/therapy
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Prognosis
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Prospective Studies
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Regression Analysis
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Risk Factors
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Thrombolytic Therapy/methods
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Troponin T/*blood
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Acute myocardial infarction
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MEDICINE
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Lindahl, BertilUppsala universitet,Institutionen för medicinska vetenskaper,Uppsala kliniska forskningscentrum (UCR)(Swepub:uu)belin227
(författare)
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Johanson, Per,1963Gothenburg University,Göteborgs universitet,Hjärt-kärlinstitutionen,Cardiovascular Institute(Swepub:gu)xjpert
(författare)
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Jernberg, T.Uppsala universitet,Institutionen för medicinska vetenskaper
(författare)
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Svensson, Ann-Marie,1961Gothenburg University,Göteborgs universitet,Hjärt-kärlinstitutionen,Cardiovascular Institute(Swepub:gu)xsannh
(författare)
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Venge, Per
(författare)
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Wallentin, LarsUppsala universitet,Institutionen för medicinska vetenskaper,Kardiologi(Swepub:uu)larswall
(författare)
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Dellborg, Mikael,1954Gothenburg University,Göteborgs universitet,Hjärt-kärlinstitutionen,Cardiovascular Institute(Swepub:gu)xdelmi
(författare)
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Uppsala universitetInstitutionen för medicinska vetenskaper
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Eur Heart J: Oxford University Press (OUP)25:2, s. 113-200195-668X1522-9645
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