Troponin T in patients with low grade or atypical angina. Identification of a high risk group for short- and long-term cardiovascular events
Why the study?
Does positive Troponin T predict short- and long-term cardiovascular events in patients with low grade or atypical angina?
Population
106 patients with low grade or atypical symptoms admitted to the coronary care unit with suspected acute…
Comparison
Positive Troponin T vs Negative Troponin T
Design
Cohort
Follow-up
up to 6 months post-discharge
Authors
Discussion
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Member takes
Implication
May support troponin-guided risk stratification in atypical angina; extends prior data from severe cases but leaves practice implications open.
Structured PICO
Does positive Troponin T predict short- and long-term cardiovascular events in patients with low grade or atypical angina?
P
Population
106 patients with low grade (Braunwald class I) or atypical symptoms admitted to the coronary care unit with suspected acute myocardial infarction, mean age 57.4 years.
I
Intervention
Positive Troponin T (≥0.2 µg/L at admission or 4 hours later)
C
Comparator
Negative Troponin T
O
Outcome
In-hospital cardiovascular events including acute myocardial infarction, life threatening cardiac arrhythmias, congestive heart failure, and deathcomposite
Elevated Troponin T identifies a high-risk subset of patients with low-grade or atypical angina who are at significantly increased risk for short- and long-term cardiovascular events.
Cite This Study
Möckel et al. (1998) studied this question.