Does abnormal troponin elevation predict in-hospital death in ischemic stroke patients?
Troponin elevation, particularly when rising, is a strong prognostic marker for in-hospital mortality in ischemic stroke patients.
Ischemic stroke patients with abnormal troponin levels are at higher risk of in-hospital death, even after accounting for demographic and clinical characteristics, and any degree of troponin elevation identifies this higher level of risk. Troponins that continue to rise during the hospitalization identify stroke patients at markedly higher risk of mortality, and both neurologic and non-neurologically mediated mortality rates are higher when troponin is elevated.
Peddada et al. (Fri,) studied this question.