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- W2024773246 abstract "Troponin is crucial for the diagnosis of acute myocardial infarction (AMI). It is also a marker of myocardial necrosis quantitatively, especially if taken 72 h after the pain. Additionally, troponin values predict outcome in AMI. In two distinct clinical populations, the odds of death approximately doubled with a 10-fold increase in troponin ( 1 Waxman D.A. Hecht S. Schappert J. Husk G. A model for troponin I as a quantitative predictor of in-hospital mortality. J Am Coll Cardiol. 2006; 48: 1755-1762 Abstract Full Text Full Text PDF PubMed Scopus (72) Google Scholar ). Troponin I remained a strong predictor after age, electrocardiogram abnormality, renal insufficiency, arrival mode, chief complaint, admission diagnosis, and abnormal vital signs were included in bivariate and nested multivariate models ( 1 Waxman D.A. Hecht S. Schappert J. Husk G. A model for troponin I as a quantitative predictor of in-hospital mortality. J Am Coll Cardiol. 2006; 48: 1755-1762 Abstract Full Text Full Text PDF PubMed Scopus (72) Google Scholar ). In addition, troponin may suggest the therapeutic approach (invasive vs. conservative) as well as the choice of medication (e.g., low-molecular-weight heparin) in unstable angina pectoris/non-ST-segment elevation myocardial infarction. Moreover, troponin is a valid prognostic marker in numerous conditions other than AMI, both acute (e.g., acute heart failure) and chronic (e.g., chronic heart failure, chronic renal failure). Thus, it is of the greatest medical, social, and economical interest that every physician involved in troponin interpretation regularly update and increase knowledge relating to troponin." @default.
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- W2024773246 date "2011-04-01" @default.
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- W2024773246 title "Troponin Units Should be Unified" @default.
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- W2024773246 doi "https://doi.org/10.1016/j.jemermed.2009.02.041" @default.
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