Why the study?
Does a positive cardiac specific troponin level predict major adverse cardiac events and coronary stenosis severity in patients with acute coronary syndrome and a normal ECG?
Does a positive cardiac specific troponin level predict major adverse cardiac events and coronary stenosis severity in patients with acute coronary syndrome and a normal ECG?
In patients with acute coronary syndrome and a normal ECG, elevated troponin levels are associated with more severe coronary artery stenosis and a significantly higher risk of major adverse cardiac events at one year.
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May flag higher-risk ACS with normal ECG; hypothesis-generating and should not yet change practice.
Lim et al. (2003) studied this question.
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