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Cardiac troponin T levels for risk stratification in acute myocardial ischemia

Article Abstract:

Troponin T concentrations may predict further risk in patients with acute myocardial ischemia, the lack of oxygen supply to the heart. Troponin T is a binding protein involved in regulating heart cell functions. One-month mortality rates were three times higher among the 289 patients with initially elevated troponin T levels, measured within hours of hospitalization, than those of patients with average troponin T concentrations. Serum creatine kinase MB levels and electrocardiographic results alone were less pronounced risk markers unless used in combination with troponin T measurements.

Author: Ohman, E. Magnus, Califf, Robert M., Topol, Eric J., Armstrong, Paul W., Harrell, Frank E., Jr., Granger, Christopher B., Katus, Hugo A., Kleiman, Neal S., Hamm, Christian W., Wagner, Galen S., Christenson, Robert H., O'Hanesian, Mary Ann
Publisher: Massachusetts Medical Society
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 1996
Patient outcomes, Mortality, Measurement, Physiological aspects, Prognosis, Coronary heart disease, Carrier proteins, Transport proteins, Muscle proteins, Cardiac patients

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Sex, clinical presentation, and outcome in patients with acute coronary syndromes

Article Abstract:

Men and women appear to have different outcomes after a heart attack. In a study of 12,142 patients hospitalized for unstable angina or a heart attack, the women had higher 30-day mortality rates and more complications during hospitalization than the men. The women were older than the men in general and more likely to have diabetes, high blood pressure and pre-existing heart disease. However, women with unstable angina had lower mortality rates than men with unstable angina.

Author: Califf, Robert M., Topol, Eric J., White, Harvey D., Weaver, W. Douglas, Hochman, Judith S., Werf, Frans van de, Tamis, Jacqueline E., Thompson, Trevor D., Aylward, Phil
Publisher: Massachusetts Medical Society
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 1999
Statistical Data Included, Reports, Unstable angina, Demographic aspects, Heart attack, Sex factors in disease, Disease sex factors

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