Format

Send to

Choose Destination
See comment in PubMed Commons below
Cerebrovasc Dis. 2009;28(3):220-6. doi: 10.1159/000226773. Epub 2009 Jul 2.

Elevated troponin after stroke: a systematic review.

Author information

  • 1Academic Section of Geriatric Medicine, Faculty of Medicine, University of Glasgow, Glasgow Royal Infirmary, Glasgow, UK.

Abstract

BACKGROUND:

Troponin levels are elevated in some acute stroke patients, but the clinical significance of this is unclear.

METHODS:

We conducted a systematic review of studies measuring troponin within 7 days of symptom onset in acute stroke patients.

RESULTS:

We identified 15 studies (2,901 patients). Overall 18.1% (95% CI 13.6-22.6) had a positive troponin level. These patients were more likely to have electrocardiogram (ECG) changes suggestive of myocardial ischemia (OR 3.0; 95% CI 1.5-6.2), and there was an independent association with death (OR 2.9; 95% CI 1.7-4.8).

CONCLUSION:

Elevated troponin level after acute stroke is common and is associated with ECG changes suggestive of myocardial ischemia and increased risk of death.

PMID:
19571535
DOI:
10.1159/000226773
[PubMed - indexed for MEDLINE]
Free full text
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for S. Karger AG, Basel, Switzerland
    Loading ...
    Support Center