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Increasing Serum Troponin I and Early Prognosis in Patients with Chest Pain or Angina Equivalent Symptoms in the Emergency Department

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Author(s): HH Davarani | M AfzaliMoghadam | H Hosseinnejad | R Hamidian

Journal: Iranian Journal of Public Health
ISSN 2251-6085

Volume: 41;
Issue: 2;
Start page: 63;
Date: 2012;
Original page

Keywords: Troponin I | Chest Pain | Angina | Acute Coronary Syndrome | Prognosis

ABSTRACT
Background: The purpose of this research was to determine the relation between negative or positive qualitative troponin I test and the short term prognosis of patients presenting to emergency department with chest pain or angina equivalent symptoms.Methods: we assessed the qualitative rapid troponin I in patients with chest pain or angina equivalent symptoms after at least 4 hours and then we followed the patients in 72 hours after presentation for adverse events such as death, CCU admission, fatal arrhythmias and heart failure.Results: After comparing qualitative troponin I test results and adverse events, we concluded that the troponin I was significantly more positive in patients with adverse events (i.e. CCU admission, fatal arrhythmias and heart failure) (P=0.031).Conclusion: A single measurement of rapid qualitative troponin I test can be used as a prognostic factor in patients with chest pain or angina equivalent symptoms and also as a device for risk stratification of moderate and high risk patients.

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