The Value Of Ultra-Sensitive Troponin-I In Determining Mortality In Patients With Suspected Acute Coronary Syndrome

Authors : Çeral Efe ARACI, Murat DUYAN, Mutlu KARTAL, Erkan GÖKSU

Pages : 265-270

Doi:10.53394/akd.1032104

View : 24 | Download : 29

Publication Date : 2023-09-01

Article Type : Research Paper

Abstract :Abstract: Objective: This study investigated the role of the reference value of ultra-sensitive troponin kits used in daily practice in determining mortality. Material-methods: This study was conducted in the emergency department insert ignore into journalissuearticles values(ED); of Akdeniz University Hospital between January 1, 2018, and June 30, 2019. All patients admitted to the emergency department within a period of eighteen months and who had the result of the ultra-sensitive troponin level in the range of 0.06-0.1 ng/mL were included in the study. The recurrent admissions of the patients to the ED were included, and only the first troponin values of the patients were taken as s reference for the study. Result: It was determined that 1029 troponin values of 591 patients with initial troponin I value in the range 0.06-0.1 ng/mL were measured. It was found that 332 of these patients were discharged from the emergency department, and the others were hospitalized. It was found that 168 insert ignore into journalissuearticles values(28.43%); of the patients died. Considering the gender distribution of the patients who died, it was observed that 101 insert ignore into journalissuearticles values(60.11%); patients were male, and 67 insert ignore into journalissuearticles values(39.89%); patients were female. A statistically significant difference was found between the ages of the patients who died insert ignore into journalissuearticles values(mean 71.38±12.25); and the age of patients alive insert ignore into journalissuearticles values(mean 61.78 ± 15.89); insert ignore into journalissuearticles values(p <0.019);. In univariate analysis, in addition to the positive troponin value, DM insert ignore into journalissuearticles values(p<0.022); and hyperlipidemia insert ignore into journalissuearticles values(p<0.018); were found to be statistically significant. Conclusion: For high-sensitive troponin worked in the ED, the upper value of 0.06 ng/mL effectively determines mortality
Keywords : Ultra Sensitive Troponin I, mortalite, akut koroner sendrom