6533b827fe1ef96bd1286de0

RESEARCH PRODUCT

Utilidad de la troponina I para predecir la disfunción sistólica en los síndromes coronarios agudos. Resultados de un estudio prospectivo y cuantitativo

Juan SanchisLorenzo FácilaJulio NúñezÀNgel LlàcerFrancisco J. ChorroVicent Bodí

subject

medicine.medical_specialtyAcute coronary syndromeEjection fractionbiologyUnstable anginabusiness.industryST elevationmedicine.diseaseTroponinInternal medicinePredictive value of testsTroponin ImedicineCardiologybiology.proteinSystoleCardiology and Cardiovascular Medicinebusiness

description

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.

https://doi.org/10.1016/s0300-8932(03)76946-2