The contribution of high-sensitivity troponin T on the diagnosis of coronary artery disease in patients undergoing exercise ECG test

İçen, Yahya Kemal; İçen, Gamze; Koç, Mevlüt; Dönmez, Esra; Çaylı, Murat

doi:10.5222/mmj.2016.274

MMJ

2016

DOI: 10.5222/mmj.2016.274

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The contribution of high-sensitivity troponin T on the diagnosis of coronary artery disease in patients undergoing exercise ECG test

Yahya Kemal İçen¹,

Gamze İçen²,

Mevlüt Koç³

et al.

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2024

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D-dimer/high sensitive troponin I ratio is useful in predicting in-hospital mortality in pulmonary embolism patients

Urfalioglu,

Altug,

Cinar

et al. 2024

Ir J Med Sci

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Background Pulmonary embolism requires careful differential diagnosis as it is associated with a wide range of symptoms that may suggest different diseases such as chest pain, shortness of breath and syncope. Since the disease can be fatal, especially in cases where right ventricular failure and hemodynamic instability develop, prognostic markers are great importance in terms of monitoring the patient during the treatment process. Aim We aimed in our study to compare the relationship between the ratio of D-dimer and High Sensitive Troponin T (HsTnT) values with short-term mortality and to compare this relationship with Pulmonary Embolism Severity Index (PESI) scoring. Method Our study was conducted with patients who applied to the emergency department of our hospital between 01/01/2022 and 01/01/2023 and were definitively diagnosed with Pulmonary thromboembolism after their evaluation. Findings. The success of D-dimer/HsTroponin, D-dimer/CK-MB and troponin/D-dimer indices calculated from the laboratory test results of the cases in predicting mortality was examined, and a comparison was made with the success of the PESI score in predicting mortality. Among these indices, D-dimer/CK-MB was found to be the most successful index in predicting 7-day mortality (AUC: 0.734; 95% CI: 0.653–0.815; p < 0.001). Additionally, the D-dimer/HsTroponin ratio was found to be statistically significant as a successful index in predicting 7-day mortality (AUC: 0.697; 95% CI: 0.621–0.774; p < 0.001). Conclusion FD-dimer/HsTroponin ratio, which is a powerful, fast, low-cost, easy and simple test, can be used especially in emergency services instead of the PESI score as a mortality marker in pulmonary embolism, which has a high mortality rate.

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D-dimer/high sensitive troponin I ratio is useful in predicting in-hospital mortality in pulmonary embolism patients

Urfalioglu,

Altug,

Cinar

et al. 2024

Ir J Med Sci

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The contribution of high-sensitivity troponin T on the diagnosis of coronary artery disease in patients undergoing exercise ECG test

Cited by 1 publication

References 11 publications

D-dimer/high sensitive troponin I ratio is useful in predicting in-hospital mortality in pulmonary embolism patients

D-dimer/high sensitive troponin I ratio is useful in predicting in-hospital mortality in pulmonary embolism patients

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