Valor Prognóstico de Níveis Elevados de Troponina I Isolados em Pacientes sem Síndrome Coronariana Aguda Admitidos no Serviço de Emergência

Domingues, C; Ferreira, Maria João; Ferreira, Joana Moura; Marinho, André; Alves, Priscila Souza Sarmento; Ferreira, Cátia; Fonseca, Isabel; Gonçalves, Lino

doi:10.36660/abc.20190356

Cited by 3 publications

(1 citation statement)

References 29 publications

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“…TnTc units, although highly specific, can be released in other clinical conditions such as rhabdomyolysis, stroke, sepsis, chronic kidney disease, gastrointestinal hemorrhage and hypertensive emergencies, which can lead to false-positive results for ACS, with the association of levels of elevated TnTc in patients without ACS, a poor prognostic factor for those diseases. 9 On the other hand, patients who present with chest pain and undetectable troponin levels, as well as the absence of signs of ischemia on the ECG, presented a minimal risk of AMI or death within a period of 30 days, with a negative predictive value of 99.8%. for myocardial infarction.…”

Section: Diagnosismentioning

confidence: 99%

Clinical or Interventional Treatment in Acute Coronary Syndrome

Marques,

Bravo

2023

JHS

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Introduction: ACS has a wide clinical presentation, ranging from asymptomatic conditions to cardiac arrest, with chest discomfort being the main clinical symptom. Chest pain is a challenge for doctors in the emergency room and accounts for 5 to 10% of visits. Differentiating noncardiac chest pain from that of cardiac origin requires attention and mastery of diagnostic methods through the patient's clinic and tests such as troponin and electrocardiogram. Given the wide prognostic range, patients must receive a risk classification and, based on these data, receive appropriate therapeutic management. Goals: The main objective of this work is to understand the diagnostic methods and procedures applicable to everyday clinical practice, remaining within the recommendations of current scientific literature. Methods: This is a narrative bibliographic review. Scientific articles selected from the VHL, PubMed and Scielo databases were consulted. The eligibility of previously selected publications was based on the most recent studies available on the topic of ACS and AMI, preferably from 2019. Conclusions: The doctor must have ready access to the main recommendations and conduct of the most relevant guidelines on the subject of ACS/AMI and be able to adapt them to the local reality. This way, this work takes into consideration practical issues, based on current references and with a direct and objective reading on which flow to establish for each patient according to the technical structure of the unit where the patient with acute coronary syndrome was admitted and thus allow decision making between clinical or interventional treatment.

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Section: Diagnosismentioning

confidence: 99%

Clinical or Interventional Treatment in Acute Coronary Syndrome

Marques,

Bravo

2023

JHS

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Diagnostic utility of high-sensitive troponin T in patients with acute coronary syndrome

Valdés Dupeyrón,

Quintero Arcentales,

Espinales-Casanova

et al. 2023

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Cardiovascular diseases are the first cause of death in the world. Early detection of coronary pathologies contributes to the prevention of acute coronary events. High-sensitive troponin T is a valuable biomarker for diagnosing and assessing these patients. A retrospective cross-sectional study was performed from January 2018 to December 2020 at Hospicor-Manta. We included 571 patients who attended the Intensive Care Unit and had at least one high-sensitive troponin T determination with symptoms in the first 6 hours. Analyzing from the upper reference limit (99th percentile, allows understanding and interpreting data from the values below which a certain percentage is found for cardiac troponins. Elderly male patients tended to suffer acute coronary syndrome (p<0.05). The most frequent comorbidities were: arterial hypertension, dyslipidemia and diabetes (p< 0.05). There was evidence of the correlation between high-sensitive troponin T values and electrocardiographic signs of acute coronary syndrome (p<0.05). There was a moderate correlation between high-sensitive troponin T analysis and acute coronary syndrome (p< 0.05). Keywords: Cardiovascular diseases, acute coronary syndrome, high-sensitive troponin T.

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Papel da Tomografia Computorizada na Exclusão de Síndrome Coronária Aguda em Contexto de Urgência: A Anatomia é o Caminho?

Bettencourt¹

2022

Arquivos Brasileiros De Cardiologia

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Valor Prognóstico de Níveis Elevados de Troponina I Isolados em Pacientes sem Síndrome Coronariana Aguda Admitidos no Serviço de Emergência

Cited by 3 publications

References 29 publications

Clinical or Interventional Treatment in Acute Coronary Syndrome

Clinical or Interventional Treatment in Acute Coronary Syndrome

Diagnostic utility of high-sensitive troponin T in patients with acute coronary syndrome

Papel da Tomografia Computorizada na Exclusão de Síndrome Coronária Aguda em Contexto de Urgência: A Anatomia é o Caminho?

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