Sökning: L773:1535 282X OR L773:1535 2811 >
Experiences of a On...
Experiences of a One-hour Algorithm in Chest Pain Patients With a Nonelevated Troponin T at Presentation.
-
- Pettersson, Anna (författare)
- Karolinska Institutet, Department of Medicine, Solna, Sweden
-
- Ljung, Lina (författare)
- Karolinska Institutet
-
- Johansson, Caroline (författare)
- Karolinska Institutet, Department of Medicine, Solna, Sweden; Karolinska University Hospital, Functional Area of Emergency Medicine, Solna, Sweden
-
visa fler...
-
- Heilborn, Umut (författare)
- Karolinska Institutet, Department of Medicine, Solna, Sweden; Capio S:t Göran’s Hospital, Department of Emergency Medicine, Stockholm, Sweden
-
- Jernberg, Tomas (författare)
- Karolinska Institutet
-
- Frick, Mats (författare)
- Karolinska Institutet, Södersjukhuset, Department of Clinical Science and Education, Stockholm, Sweden; Södersjukhuset, Department of Cardiology, Stockholm, Sweden
-
- Eggers, Kai M., 1962- (författare)
- Uppsala universitet,Kardiologi,Bertil Lindahl
-
- Lindahl, Bertil, 1957- (författare)
- Uppsala universitet,Kardiologi,Uppsala kliniska forskningscentrum (UCR)
-
- Linder, Rikard (författare)
- Karolinska Institutet, Danderyd University Hospital, Department of Clinical Sciences, Stockholm, Sweden
-
- Martinsson, Arne (författare)
- Capio S:t Göran’s Hospital, Department of Emergency Medicine, Stockholm, Sweden
-
- Svensson, Per (författare)
- Karolinska Institutet
-
visa färre...
-
(creator_code:org_t)
- 2018
- 2018
- Engelska.
-
Ingår i: Critical Pathways in Cardiology. - 1535-282X .- 1535-2811. ; 17:1, s. 6-12
- Relaterad länk:
-
https://doi.org/10.1...
-
visa fler...
-
https://uu.diva-port... (primary) (Raw object)
-
https://urn.kb.se/re...
-
https://doi.org/10.1...
-
http://kipublication...
-
visa färre...
Abstract
Ämnesord
Stäng
- Background: We aimed to evaluate the use of a 1-hour measurement of high-sensitivity cardiac troponin T (hs-cTnT) in an emergency department (ED) population of chest pain patients with a nonelevated baseline hs-cTnT and to examine the prevalence of early dynamic changes in hs-cTnT and the association with admission rate, diagnosis, and outcome.Methods: All patients with a chief complaint of chest pain presenting to the ED of Karolinska University Hospital, Solna, Sweden, from December 2014 to September 2015 who had a baseline hs-cTnT of ≤14 ng/L and a second value obtained within >30 to ≤90 minutes were followed for 30 days regarding admission, readmission, myocardial infarction (MI), and death.Results: A total of 1091 patients were included. Dynamic 1-hour changes in hs-cTnT defined as an increase or decrease of ≥3 ng/L occurred in 23 patients (2.1%). Fifteen patients (65.2%) in the dynamic group were admitted, compared with 148 patients (13.9%) in the nondynamic group (P < 0.001). Four of the admitted patients (26.7%) in the dynamic and 1 (0.7%) in the nondynamic group were diagnosed with an MI (P < 0.001). No death or MI occurred within 30 days among those discharged from the ED.Conclusions: Dynamic 1-hour changes in hs-cTnT were uncommon but associated with a higher rate of admission and of MI in an unselected population of chest pain patients with a nonelevated hs-cTnT at presentation. Lack of dynamic changes makes MI highly unlikely, and a 1-hour measurement may facilitate an early rule out of MI but should be used together with clinical assessment.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Nyckelord
- 1-hour algorithm
- chest pain
- emergency department
- myocardial infarction
- troponin
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
Hitta via bibliotek
Till lärosätets databas
- Av författaren/redakt...
-
Pettersson, Anna
-
Ljung, Lina
-
Johansson, Carol ...
-
Heilborn, Umut
-
Jernberg, Tomas
-
Frick, Mats
-
visa fler...
-
Eggers, Kai M., ...
-
Lindahl, Bertil, ...
-
Linder, Rikard
-
Martinsson, Arne
-
Svensson, Per
-
visa färre...
- Om ämnet
-
- MEDICIN OCH HÄLSOVETENSKAP
-
MEDICIN OCH HÄLS ...
-
och Klinisk medicin
-
och Kardiologi
- Artiklar i publikationen
-
Critical Pathway ...
- Av lärosätet
-
Uppsala universitet
-
Karolinska Institutet