University of Khartoum

The Value of Troponin I in the Diagnosis of Myocardial Infarction and Outcome in Sudanese Patients

The Value of Troponin I in the Diagnosis of Myocardial Infarction and Outcome in Sudanese Patients

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Title: The Value of Troponin I in the Diagnosis of Myocardial Infarction and Outcome in Sudanese Patients
Author: Zein , Bashayer Mohammed
Abstract: This is a prospective study conducted at Elshaab Teaching Hospital in the period between May and July 2005. In this study 60 patients presented with acute chest pain to the cardiology department. Special selection criteria were considered, and any patient presented with acute chest pain, not for more than two weeks, and not traumatic was included. The objectives of the study were to determine the value of troponin in the diagnosis of myocardial infarction and risk stratification.Troponin I concentration was measured at presentation and the patients were followed up for 1 month. The study concluded that troponin is statistically significant in diagnosing myocardial infarction and acute coronary syndrome, where 33.3% of the patients had a troponin concentration >1.0ng/mL, 20.0% had acute myocardial infarction and 5.0% had unstable angina. There was no significant relation between duration of chest pain and troponin concentration and the outcome related to the troponin concentration was approaching significance where 20.0% of the patients with a troponin concentration >1.0ng/mL passed away, and 10.0% had another infarct. This study recommended that patients presenting with acute chest pain should be diagnosed and risk stratified by using serial troponin measurement beside the clinical and ECG findings. It also recommended that larger studies should be conducted to evaluate the relation between the time of presentation and the outcome with the Troponin I concentration.
Description: 75 Pages
URI: http://khartoumspace.uofk.edu/handle/123456789/8403
Date: 2015-04-07


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