NDLI: Outcomes associated with small changes in normal-range cardiac markers.

Please wait, while we are loading the content...

A time and imaging cost analysis of low-risk ED observation patients: a conservative 64-section computed tomography coronary angiography 'triple rule-out' compared to nuclear stress test strategy.

A simple and useful coma scale for patients with neurologic emergencies: the Emergency Coma Scale.

Impact of computerized physician order entry on ED patient length of stay.

Patient history and physician suspicion accurately exclude pregnancy.

Opioid toxicity as a cause of spontaneous urinary bladder rupture.

Do we need echocardiography before commencing thrombolytic therapy?

Mydriatic pupil as the presenting sign of aortic dissection.

Splenic rupture after colonoscopy.

Pulmonary tumor thrombotic microangiopathy.

Recovery of paralysis in association with an improvement of hypomagnesemia due to alcoholism.

Trimethoprim-sulfamethoxazole-induced aseptic meningitis.

Nephrotic syndrome complicated with acute mesenteric ischemia.

A case report of Stanford type A aortic dissection presenting with status epilepticus.

The efficacy of obidoxime 72 hours after intoxication by organophosphates.

Immune reconstitution syndrome-induced hypercalcemic crisis.

Repolarization abnormalities with cocaine: need for enhanced vigilance.

Usefulness of emergency ultrasound in nontraumatic cardiac arrest.

Paracetamol vs piroxicam to relieve pain in renal colic. Results of a randomized controlled trial.

Snakebite: the experience of Russell's viper antivenom in Taiwan.

Bad Mojo: use of the new marijuana substitute leads to more and more ED visits for acute psychosis.

Rib fractures and pain peak 2 weeks down the line: myth or a fact?

A physician's personal experience as a neck breather needing emergency care.

Post-computed tomography of the kidney, ureter, and bladder diagnosis of urinary extravasation.

Hyperthermia occurred after hyperbaric oxygen therapy for carbon monoxide poisoning.

Diagnostic and therapeutic implications in post-myocardial infarct patients with raised brain natriuretic peptide levels.

Hyperthermia and hyperbaric oxygen therapy.

Informed consent for computed tomography.

Year: 2011 Volume: 29 Issue: 1

Year: 2010 Volume: 28

Year: 2009 Volume: 27

Year: 2008 Volume: 26

Outcomes associated with small changes in normal-range cardiac markers.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	McMullin, Nolan Lindsell, Christopher J. Lei, Lei Mafi, John Jois-Bilowich, Preeti Anantharaman, Venkataraman Pollack, Charles V. Hollander, Judd E. Gibler, W. Brian Hoekestra, James W. Diercks, Deborah Peacock, W. Frank
Description	Country affiliation: United States Author Affiliation: McMullin N ( The Cleveland Clinic, Cleveland, OH, USA.)
Abstract	INTRODUCTION: Troponin concentrations rising above an institutional cutpoint are used to define acute myocardial necrosis, yet it is uncertain what outcomes are associated with fluctuations in troponin that do not exceed this level. We evaluate the association between troponin fluctuations below an institutional upper limit of normal and acute coronary syndrome (ACS). MATERIALS AND METHODS: This was a post hoc analysis of the Internet tracking registry of ACS (i*trACS), which describes patients presenting to emergency departments (EDs) with suspected ACS across the spectrum of risk. Patients were included in this registry if they were at least 18 years old and had suspected ACS at the time of their ED visit. Inclusions in this analysis required that patients had at least 1 cardiac marker (creatine kinase-MB [CK-MB], troponin T, or troponin I) drawn twice within 6 hours of presentation, with both measures being below the institution's upper limit of normal. A marker change was defined as either an increase or decrease that exceeded 15% of the institutional upper limit of normal. Acute coronary syndrome was defined as a positive stress test, documented myocardial infarction, coronary revascularization, or death within 30 days of their ED admission. RESULTS: Of 17,713 patient visits, 2162 met inclusion and exclusion criteria. There were 1872 patient visits with 2 troponin results and 1312 with 2 CK-MB results. Patient visits with increasing troponin had increased odds of ACS compared with those with stable troponin levels (odds ratio, 3.6; 95% confidence interval, 1.4-9.2). Changing CK-MB and decreasing troponin were not associated with increased odds of ACS. CONCLUSIONS: Small increases in troponin concentration below the upper limit of normal are associated with increased odds of ACS.
File Format	HTM / HTML
ISSN	07356757
Issue Number	2
Volume Number	29
e-ISSN	15328171
Journal	The American Journal of Emergency Medicine
Language	English
Publisher	Elsevier
Publisher Date	2011-02-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Emergency Discipline Medicine Acute Coronary Syndrome Blood Creatine Kinase, Mb Form Myocardial Infarction Troponin I Troponin T Diagnosis Biological Markers Female Humans Male Middle Aged Outcome Assessment (health Care) Prognosis Registries Journal Article
Content Type	Text
Resource Type	Article
Subject	Emergency Medicine

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

CKMB and acute myocardial infarction in the emergency department.

Periprocedural myocardial infarction: prevalence, prognosis, and prevention.

The Troponins

Biochemical markers in the management of suspected acute myocardial infarction in the emergency department.

Third universal definition of myocardial infarction: update, caveats, differential diagnoses.

Utility of admission cardiac troponin and 'Ischemia Modified Albumin' measurements for rapid evaluation and rule out of suspected acute myocardial infarction in the emergency department.

Serial Changes in Highly Sensitive Troponin I Assay and Early Diagnosis of Myocardial Infarction

The role of postmortem cardiac markers in the diagnosis of acute myocardial infarction.

Prognostic value of isolated troponin I elevation after percutaneous coronary intervention.

Outcomes associated with small changes in normal-range cardiac markers.

Similar Documents

CKMB and acute myocardial infarction in the emergency department.

Periprocedural myocardial infarction: prevalence, prognosis, and prevention.

The Troponins

Biochemical markers in the management of suspected acute myocardial infarction in the emergency department.

Third universal definition of myocardial infarction: update, caveats, differential diagnoses.

Utility of admission cardiac troponin and 'Ischemia Modified Albumin' measurements for rapid evaluation and rule out of suspected acute myocardial infarction in the emergency department.

Serial Changes in Highly Sensitive Troponin I Assay and Early Diagnosis of Myocardial Infarction

The role of postmortem cardiac markers in the diagnosis of acute myocardial infarction.

Prognostic value of isolated troponin I elevation after percutaneous coronary intervention.

Outcomes associated with small changes in normal-range cardiac markers.