October 1, 2009Clinical CardiologyOpen Access

Quartiles of Peak Troponin Are Associated with Long‐term Risk of Death in Type 1 and STEMI, but Not in Type 2 or NSTEMI Patients

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Why the study?

Does higher peak cardiac troponin level predict MACE in patients with acute myocardial infarction?

Population

345 consecutive patients with acute myocardial infarction, including Type 1, Type 2, STEMI, and NSTEMI

Comparison

Higher quartiles of peak cardiac troponin level vs Lower quartiles of peak cardiac troponin level

Design

Cohort

Follow-up

mean 30.6 months

Authors

MGManuel A. GonzálezTemuco Catholic University CPChristopher PorterfieldAurora Health Care DEDana EilenEast Carolina University

Discussion

Member takes

Implication

May refine subtype-specific prognostication in Type 1/STEMI AMI; leaves open utility and validation in Type 2/NSTEMI.

Structured PICO

Does higher peak cardiac troponin level predict MACE in patients with acute myocardial infarction?

Population

345 consecutive patients with acute myocardial infarction (AMI), including Type 1 (n=276), Type 2 (n=54), STEMI (n=159), and NSTEMI (n=186)

Intervention

Higher quartiles of peak cardiac troponin (cTn) level

Comparator

Lower quartiles of peak cardiac troponin (cTn) level

Outcome

Major adverse cardiovascular events (MACE; composite of all causes of mortality and recurrent AMI)composite

Peak cardiac troponin levels predict long-term MACE and mortality in patients with Type 1 AMI and STEMI, but not in those with Type 2 AMI or NSTEMI.

Cite This Study

González et al. (2009) studied this question.

synapsesocial.com/papers/6a20940f8e83bb34c4950ebb https://doi.org/10.1002/clc.20662

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Quartiles of Peak Troponin Are Associated with Long‐term Risk of Death in Type 1 and STEMI, but Not in Type 2 or NSTEMI Patients

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Quartiles of Peak Troponin Are Associated with Long‐term Risk of Death in Type 1 and STEMI, but Not in Type 2 or NSTEMI Patients

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider