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Iran J Public Health. 2012;41(2):63-9. Epub 2012 Feb 29.

Increasing serum troponin I and early prognosis in patients with chest pain or angina equivalent symptoms in the emergency department.

Author information

1
Dept. of Emergency Medicine, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Abstract

BACKGROUND:

The purpose of this research was to determine the relation between negative or positive qualitative troponin I test and the short term prognosis of patients presenting to emergency department with chest pain or angina equivalent symptoms.

METHODS:

we assessed the qualitative rapid troponin I in patients with chest pain or angina equivalent symptoms after at least 4 hours and then we followed the patients in 72 hours after presentation for adverse events such as death, CCU admission, fatal arrhythmias and heart failure.

RESULTS:

After comparing qualitative troponin I test results and adverse events, we concluded that the troponin I was significantly more positive in patients with adverse events (i.e. CCU admission, fatal arrhythmias and heart failure) (P=0.031).

CONCLUSION:

A single measurement of rapid qualitative troponin I test can be used as a prognostic factor in patients with chest pain or angina equivalent symptoms and also as a device for risk stratification of moderate and high risk patients.

KEYWORDS:

Acute coronary syndrome; Angina; Chest pain; Prognosis; Troponin I

PMID:
23113136
PMCID:
PMC3481681

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