2000, English, Article edition: Cardiovascular risk and therapeutic benefit of coronary interventions for patients with unstable angina according to the troponin T status Heeschen, C.; Goldmann, B.U.; Terres, W.; ...

User activity

Share to:
 
Bookmark: http://trove.nla.gov.au/version/201349
Physical Description
  • text/​html
Published
  • Oxford University Press
  • 2000-07-02 00:00:00.0
Language
  • English

Edition details

Title
  • Cardiovascular risk and therapeutic benefit of coronary interventions for patients with unstable angina according to the troponin T status
Author
  • Heeschen, C.
  • Goldmann, B.U.
  • Terres, W.
  • Hamm, C.W.
Published
  • Oxford University Press
  • 2000-07-02 00:00:00.0
Physical Description
  • text/​html
Subjects
Notes
  • Aims Elevation of troponin T in patients with unstable angina is predictive of adverse outcomes. Since no advanced therapeutic concept for such high-risk patients has been established, we investigated cardiac risk prior to, during, and after coronary revascularization in patients with unstable angina stratified according to the troponin T status. Methods and Results Out of 351 patients with unstable angina, troponin was elevated for 36% of the patients as determined by qualitative bedside tests. The patients were followed during hospitalization and 30 days after discharge for incidence of death and myocardial infarction. In troponin-positive patients, clinical symptoms were more refractory to medical treatment than in troponin-negative patients (78% vs 44%; P =​0·002). Although these patients were catheterized earlier (1·6 vs 3·4 days; P =​0·005) and more frequently (95% vs 69%; P <0·001), troponin-positive patients suffered a higher incidence of cardiac events prior to scheduled revascularization (death, myocardial infarction; 6·4% vs 0·4%; P <0·001). The angiogram for troponin-positive patients confirmed a more severe coronary artery disease requiring revascularization (69% vs 50%; P =​0·001). Also the following coronary intervention was more complicated (death, myocardial infarction; 15·3% vs 4·8%; P =​0·02). During the 30-day follow-up period, cardiac risk remained elevated for troponin-positive patients. Conclusions Troponin T rapid testing reliably identified high-risk patients with unstable angina. A higher event rate was observed prior to and particularly in association with the coronary intervention. Coronary revascularization did not abrogate the increased risk of troponin-positive patients during the 30-day follow-up.
Terms of Use
  • Copyright (C) 2000, European Society of Cardiology
Language
  • English
Contributed by
OAIster

Get this edition

  • Set up My libraries

    How do I set up "My libraries"?

    In order to set up a list of libraries that you have access to, you must first login or sign up. Then set up a personal list of libraries from your profile page by clicking on your user name at the top right of any screen.

  • All (1)
  • Unknown (1)
None of your libraries hold this item.
None of your libraries hold this item.
None of your libraries hold this item.
None of your libraries hold this item.
None of your libraries hold this item.
None of your libraries hold this item.
None of your libraries hold this item.
None of your libraries hold this item.

User activity


e.g. test cricket, Perth (WA), "Parkes, Henry"

Separate different tags with a comma. To include a comma in your tag, surround the tag with double quotes.

Be the first to add a tag for this edition

Be the first to add this to a list

Comments and reviews

What are comments? Add a comment

No user comments or reviews for this version

Add a comment