Key result
Elevated cardiac troponin-I in hypertensive emergencies is linked to higher mortality.
Why the study?
Cardiac troponin-I elevation during hypertensive emergencies is a frequent epiphenomenon that may complicate management, but its prevalence, determinants, clinical significance, and prognostic value required further evaluation.
Does cardiac troponin-I elevation predict mortality in adults presenting with hypertensive emergency?
Does cardiac troponin-I elevation predict mortality in adults presenting with hypertensive emergency?
Elevated cardiac troponin-I in patients presenting with hypertensive emergency is a significant predictor of mortality.
May aid risk stratification in hypertensive emergency; leaves open whether testing improves outcomes.
Introduction: Cardiac troponin-I (cTnI) elevation release during hypertensive emergencies (HEs) is a frequent epiphenomenon that may tangle management of individuals being treated for HEs. The primary objective of this study was to determine the prevalence, determinants, and clinical significance of cTnI elevation and secondary objective was to find out the prognostic significance of cTnI elevation in patients admitted for HE in the emergency department (ED) of a tertiary care hospital. Methodology: The investigator has employed the quantitative research approach with a prospective observational descriptive design. The population of this study comprised of 205 adults, which included both males and females, who were more than or 18 years of age. The subjects were selected by non-probability purposive sampling technique. The study was conducted from August 2015 to December 2016 (16 months). Ethical permission was obtained from the Institutional Ethics Committee (IEC), Max Super Speciality Hospital, Saket, New Delhi and well-informed written consents were taken from the subjects. The analysis of data was done with the help of SPSS, version 17.0. Conclusion: It was found that cTnI elevation in individuals affected by various clinical factors. The authors highlighted a high frequency of mortality among the individuals presented with HE with elevated cTnI level, whereas the presence of cTnI was associated with greater odds of death. How to cite this article: Gupta K, Kiran M, Chhabra S, Mehta M, Kumar N. Prevalence, Determinants and Clinical Significance of Cardiac Troponin-I Elevation among Individuals with Hypertensive Emergency: A Prospective Observational Study. Indian J Crit Care Med 2022;26(7):786-790.
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Kumar et al. (2022) studied this question. Cardiac troponin-I elevation in patients presenting with hypertensive emergencies was associated with greater odds of death.
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