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February 29, 2012Circulation

Cardiac Biomarkers Are Associated With an Increased Risk of Stroke and Death in Patients With Atrial Fibrillation

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Why the study?

Are elevations of troponin I and NT-proBNP associated with an increased risk of stroke and mortality in patients with atrial fibrillation?

Population

Patients with atrial fibrillation

Design

Cohort

Authors

ZHZiad HijaziElectrophysiology
Jonas Oldgren
Jonas OldgrenCross-Cutting Cardiology
UAUlrika AnderssonBoston University

Discussion

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Implication

May refine AF stroke/mortality risk prediction beyond clinical scores; hypothesis-generating, requiring prospective validation before practice change.

Structured PICO

Are elevations of troponin I and NT-proBNP associated with an increased risk of stroke and mortality in patients with atrial fibrillation?

P
Population
Patients with atrial fibrillation
I
Intervention
Elevated cardiac biomarkers (troponin I and NT-proBNP)
O
Outcome
Stroke and mortalityhard clinical

Cardiac biomarkers such as troponin I and NT-proBNP may improve risk prediction for stroke and mortality in patients with atrial fibrillation beyond currently used clinical variables.

Cite This Study

Hijazi et al. (2012) studied this question.

synapsesocial.com/papers/69a32314efb615f3da688f85https://doi.org/10.1161/circulationaha.111.038729

Topics

Atrial fibrillationAnticoagulation in AFPersistent AF managementWomen and heart disease
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1<i>N</i> -Terminal Pro–Brain Natriuretic Peptide and Other Risk Markers for the Separate Prediction of Mortality and Subsequent Myocardial Infarction in Patients With Unstable Coronary Artery Disease2003 · 584 citations
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  3. 3Prothrombin fragment F1 + 2 and thrombin—antithrombin III complex are useful markers of the hypercoagulable state in atrial fibrillation1992 · 101 citations
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  5. 5Persistent Cardiac Troponin I Elevation in Stabilized Patients After an Episode of Acute Coronary Syndrome Predicts Long-Term Mortality2007 · 157 citations