Usefulness of troponin I for predicting systolic dysfunction in acute coronary syndromes.: Results of a prospective and quantitative study

被引：3

作者：

Bodí, V ^{[1
]}

Núñez, J ^{[1
]}

Sanchis, J ^{[1
]}

Llàcer, A ^{[1
]}

Fácila, L ^{[1
]}

Chorro, FJ ^{[1
]}

机构：

[1] Univ Valencia, Serv Cardiol, Hosp Clin & Univ, Valencia 46010, Spain

来源：

REVISTA ESPANOLA DE CARDIOLOGIA | 2003年 / 56卷 / 07期

关键词：

troponin; unstable angina; infarction; systole; prognosis;

D O I：

10.1157/13049657

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The relationship between troponin I and systolic function (quantitative contrast ventriculography) was evaluated in 137 consecutive patients with a first acute coronary syndrome (60 with and 77 without ST elevation). In general, a larger troponin I peak value was related with a more depressed ejection fraction and poorer regional systolic function (p < 0.0001). Nevertheless, this correlation was weaker than expected, especially in those cases without ST-segment elevation, suggesting that other factors apart from systolic dysfunction must be taken into account in order to explain the worse prognosis of those patients with increased serum levels of this marker of myocardial damage.

引用

页码：738 / 741

页数：4

共 12 条

[1] Prevalence of angiographically significant stenosis in patients with chest pain and an elevated troponin I level and normal creatine kinase and creatine kinase-MB levels [J].

Almeda, FQ ;

Calvin, JE ;

Parrillo, JE ;

Sun, FG ;

Barron, JT .

AMERICAN JOURNAL OF CARDIOLOGY, 2001, 87 (11) :1286-1289

[2] Troponin measurements in ischemic heart disease: More than just a black and white picture [J].

Antman, EM .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2001, 38 (04) :987-990

[3] Short-term prognosis of patients admitted for probable acute coronary syndrome without ST-segment elevation.: Role of new myocardial damage markers and acute-phase reactants [J].

Bodí, C ;

Facila, L ;

Sanchis, J ;

Llácer, A ;

Núñez, J ;

Mainar, L ;

Gómez-Aldaraví, R ;

Monmeneu, JV ;

Blasco, ML ;

Sanjuan, R ;

Insa, L ;

Chorro, FJ .

REVISTA ESPANOLA DE CARDIOLOGIA, 2002, 55 (08) :823-830

[4] Is troponin I useful for predicting in-hospital risk for unstable angina patients in a community hospital?: Results of a prospective study [J].

Bodí, V ;

Sanchis, J ;

Llácer, A ;

Graells, ML ;

Llorca, L ;

Chorro, FJ ;

Insa, LD ;

Navarro, A ;

Plancha, E ;

Cortés, FJ ;

de León, JCP ;

Valls, A .

REVISTA ESPANOLA DE CARDIOLOGIA, 2002, 55 (02) :100-106

[5] Risk stratification with cardiac troponin I in acute coronary syndromes [J].

de Winter, RJ .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2000, 36 (06) :1824-1826

[6] Mechanisms behind the prognostic value of troponin T in unstable coronary artery disease: A FRISC II substudy [J].

Lindahl, B ;

Diderholm, E ;

Lagerqvist, B ;

Venge, P ;

Wallentin, L .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2001, 38 (04) :979-986

[7] RISK STRATIFICATION AND SURVIVAL AFTER MYOCARDIAL-INFARCTION [J].

MOSS, AJ .

NEW ENGLAND JOURNAL OF MEDICINE, 1983, 309 (06) :331-336

[8] Comparison of cardiac troponin T versus creatine kinase-MB for risk stratification in a chest pain evaluation unit [J].

Newby, LK ;

Kaplan, AL ;

Granger, BB ;

Sedor, F ;

Califf, RM ;

Ohman, EM .

AMERICAN JOURNAL OF CARDIOLOGY, 2000, 85 (07) :801-805

[9] Troponin T measurement after myocardial infarction can identify left ventricular ejection of less than 40% [J].

Rao, ACR ;

Collinson, PO ;

Canepa-Anson, R ;

Joseph, SP .

HEART, 1998, 80 (03) :223-225

[10] Low-dose dobutamine testing using contrast left ventriculography in the same session as coronary angiography predicts the improvement of left ventricular function after coronary angioplasty in postinfarction patients [J].

Sanchis, J ;

Bodí, V ;

Insa, L ;

Gómez-Aldaraví, R ;

Berenguer, A ;

López-Lereu, MP ;

Chorro, FJ ;

López-Merino, V .

AMERICAN JOURNAL OF CARDIOLOGY, 1999, 83 (01) :15-20

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