共 28 条
Elevated troponin levels are associated with higher mortality following intracerebral hemorrhage
被引:93
作者:

Hays, A
论文数: 0 引用数: 0
h-index: 0
机构:
Washington Univ, Dept Neurol, Neurol Neurosurg Intens Care Unit, St Louis, MO 63110 USA Washington Univ, Dept Neurol, Neurol Neurosurg Intens Care Unit, St Louis, MO 63110 USA

Diringer, MN
论文数: 0 引用数: 0
h-index: 0
机构:
Washington Univ, Dept Neurol, Neurol Neurosurg Intens Care Unit, St Louis, MO 63110 USA Washington Univ, Dept Neurol, Neurol Neurosurg Intens Care Unit, St Louis, MO 63110 USA
机构:
[1] Washington Univ, Dept Neurol, Neurol Neurosurg Intens Care Unit, St Louis, MO 63110 USA
来源:
关键词:
D O I:
10.1212/01.wnl.0000210523.22944.9b
中图分类号:
R74 [神经病学与精神病学];
学科分类号:
摘要:
Background: Elevated troponin levels are an independent indicator of poor outcome in ischemic stroke. The authors performed a retrospective study to ascertain whether elevated cardiac troponin I (cTnI) influences outcome from intracerebral hemorrhage (ICH). Methods: Patients were included if they had a cTnI level measured and a head CT performed within 24 hours of presentation with a spontaneous ICH. Those with recent stroke, angina, or myocardial ischemia were excluded. CT scans were reviewed to determine the hematoma size, location, presence of intraventricular or subarachnoid hemorrhage, hydrocephalus, and midline shift. Results: Of the 729 ICH patients admitted over 4 years, 235 were included in the analysis. Most exclusions were for medical reasons or because of lack of a CT. Mortality was higher in the 18% with a peak cTnI level > 0.4 ng/mL (58 vs 34%, p = 0.009) and having elevated cTnI was an independent predictor of in-hospital mortality (Exp [beta] 3.68, 95% CI 1.2 to 11.2, p = 0.023). Three patients (1.2%) died due to cardiac events, all of whom had an elevated cTnI level on admission. Conclusions: Elevated cardiac troponin I (cTnI) values occur frequently in ICH and are independently associated with higher in-hospital mortality. Although cardiac causes of death were higher in those with elevated cTnI levels, due to its very low frequency (1.2%) this finding remains preliminary.
引用
收藏
页码:1330 / 1334
页数:5
相关论文
共 28 条
[1]
Troponin as a risk factor for mortality in critically ill patients without acute coronary syndromes
[J].
Ammann, P
;
Maggiorini, M
;
Bertel, O
;
Haenseler, E
;
Joller-Jemelka, HI
;
Oechslin, E
;
Minder, EI
;
Rickli, H
;
Fehr, T
.
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY,
2003, 41 (11)
:2004-2009

Ammann, P
论文数: 0 引用数: 0
h-index: 0
机构: Tirmeli Hosp, Div Cardiol, Zurich, Switzerland

Maggiorini, M
论文数: 0 引用数: 0
h-index: 0
机构: Tirmeli Hosp, Div Cardiol, Zurich, Switzerland

Bertel, O
论文数: 0 引用数: 0
h-index: 0
机构: Tirmeli Hosp, Div Cardiol, Zurich, Switzerland

Haenseler, E
论文数: 0 引用数: 0
h-index: 0
机构: Tirmeli Hosp, Div Cardiol, Zurich, Switzerland

Joller-Jemelka, HI
论文数: 0 引用数: 0
h-index: 0
机构: Tirmeli Hosp, Div Cardiol, Zurich, Switzerland

Oechslin, E
论文数: 0 引用数: 0
h-index: 0
机构: Tirmeli Hosp, Div Cardiol, Zurich, Switzerland

Minder, EI
论文数: 0 引用数: 0
h-index: 0
机构: Tirmeli Hosp, Div Cardiol, Zurich, Switzerland

Rickli, H
论文数: 0 引用数: 0
h-index: 0
机构: Tirmeli Hosp, Div Cardiol, Zurich, Switzerland

Fehr, T
论文数: 0 引用数: 0
h-index: 0
机构: Tirmeli Hosp, Div Cardiol, Zurich, Switzerland
[2]
Withdrawal of support in intracerebral hemorrhage may lead to self-fulfilling prophecies
[J].
Becker, KJ
;
Baxter, AB
;
Cohen, WA
;
Bybee, HM
;
Tirschwell, DL
;
Newell, DW
;
Winn, HR
;
Longstreth, WT
.
NEUROLOGY,
2001, 56 (06)
:766-772

Becker, KJ
论文数: 0 引用数: 0
h-index: 0
机构: Univ Washington, Harborview Med Ctr, Sch Med, Dept Neurol, Seattle, WA 98104 USA

Baxter, AB
论文数: 0 引用数: 0
h-index: 0
机构: Univ Washington, Harborview Med Ctr, Sch Med, Dept Neurol, Seattle, WA 98104 USA

Cohen, WA
论文数: 0 引用数: 0
h-index: 0
机构: Univ Washington, Harborview Med Ctr, Sch Med, Dept Neurol, Seattle, WA 98104 USA

Bybee, HM
论文数: 0 引用数: 0
h-index: 0
机构: Univ Washington, Harborview Med Ctr, Sch Med, Dept Neurol, Seattle, WA 98104 USA

Tirschwell, DL
论文数: 0 引用数: 0
h-index: 0
机构: Univ Washington, Harborview Med Ctr, Sch Med, Dept Neurol, Seattle, WA 98104 USA

Newell, DW
论文数: 0 引用数: 0
h-index: 0
机构: Univ Washington, Harborview Med Ctr, Sch Med, Dept Neurol, Seattle, WA 98104 USA

Winn, HR
论文数: 0 引用数: 0
h-index: 0
机构: Univ Washington, Harborview Med Ctr, Sch Med, Dept Neurol, Seattle, WA 98104 USA

Longstreth, WT
论文数: 0 引用数: 0
h-index: 0
机构: Univ Washington, Harborview Med Ctr, Sch Med, Dept Neurol, Seattle, WA 98104 USA
[3]
VOLUME OF INTRACEREBRAL HEMORRHAGE - A POWERFUL AND EASY-TO-USE PREDICTOR OF 30-DAY MORTALITY
[J].
BRODERICK, JP
;
BROTT, TG
;
DULDNER, JE
;
TOMSICK, T
;
HUSTER, G
.
STROKE,
1993, 24 (07)
:987-993

BRODERICK, JP
论文数: 0 引用数: 0
h-index: 0
机构: UNIV CINCINNATI,MED CTR,DEPT RADIOL,CINCINNATI,OH 45267

BROTT, TG
论文数: 0 引用数: 0
h-index: 0
机构: UNIV CINCINNATI,MED CTR,DEPT RADIOL,CINCINNATI,OH 45267

DULDNER, JE
论文数: 0 引用数: 0
h-index: 0
机构: UNIV CINCINNATI,MED CTR,DEPT RADIOL,CINCINNATI,OH 45267

TOMSICK, T
论文数: 0 引用数: 0
h-index: 0
机构: UNIV CINCINNATI,MED CTR,DEPT RADIOL,CINCINNATI,OH 45267

HUSTER, G
论文数: 0 引用数: 0
h-index: 0
机构: UNIV CINCINNATI,MED CTR,DEPT RADIOL,CINCINNATI,OH 45267
[4]
INTRACEREBRAL HEMORRHAGE
[J].
CAPLAN, LR
.
LANCET,
1992, 339 (8794)
:656-658

CAPLAN, LR
论文数: 0 引用数: 0
h-index: 0
机构: Department of Neurology, Tufts University, Boston, MA 02111, 750 Washington Street
[5]
The insula and cerebrogenic sudden death
[J].
Cheung, RTF
;
Hachinski, V
.
ARCHIVES OF NEUROLOGY,
2000, 57 (12)
:1685-1688

Cheung, RTF
论文数: 0 引用数: 0
h-index: 0
机构: Univ Hong Kong, Dept Med, Div Neurol, Hong Kong, Hong Kong, Peoples R China

Hachinski, V
论文数: 0 引用数: 0
h-index: 0
机构: Univ Hong Kong, Dept Med, Div Neurol, Hong Kong, Hong Kong, Peoples R China
[6]
REDUCTION OF STRESS CATECHOLAMINE-INDUCED CARDIAC NECROSIS BY BETA1-SELECTIVE BLOCKADE
[J].
CRUICKSHANK, JM
;
DEGAUTE, JP
;
KUURNE, T
;
VINCENT, JL
;
NEILDWYER, G
;
HAYES, Y
;
KYTTA, J
;
CARRUTHERS, ME
;
PATEL, S
.
LANCET,
1987, 2 (8559)
:585-589

CRUICKSHANK, JM
论文数: 0 引用数: 0
h-index: 0
机构: ICI PLC, DIV PHARMACEUT, MACCLESFIELD SK10 4TG, CHESHIRE, ENGLAND

DEGAUTE, JP
论文数: 0 引用数: 0
h-index: 0
机构: ICI PLC, DIV PHARMACEUT, MACCLESFIELD SK10 4TG, CHESHIRE, ENGLAND

KUURNE, T
论文数: 0 引用数: 0
h-index: 0
机构: ICI PLC, DIV PHARMACEUT, MACCLESFIELD SK10 4TG, CHESHIRE, ENGLAND

VINCENT, JL
论文数: 0 引用数: 0
h-index: 0
机构: ICI PLC, DIV PHARMACEUT, MACCLESFIELD SK10 4TG, CHESHIRE, ENGLAND

NEILDWYER, G
论文数: 0 引用数: 0
h-index: 0
机构: ICI PLC, DIV PHARMACEUT, MACCLESFIELD SK10 4TG, CHESHIRE, ENGLAND

HAYES, Y
论文数: 0 引用数: 0
h-index: 0
机构: ICI PLC, DIV PHARMACEUT, MACCLESFIELD SK10 4TG, CHESHIRE, ENGLAND

KYTTA, J
论文数: 0 引用数: 0
h-index: 0
机构: ICI PLC, DIV PHARMACEUT, MACCLESFIELD SK10 4TG, CHESHIRE, ENGLAND

CARRUTHERS, ME
论文数: 0 引用数: 0
h-index: 0
机构: ICI PLC, DIV PHARMACEUT, MACCLESFIELD SK10 4TG, CHESHIRE, ENGLAND

PATEL, S
论文数: 0 引用数: 0
h-index: 0
机构: ICI PLC, DIV PHARMACEUT, MACCLESFIELD SK10 4TG, CHESHIRE, ENGLAND
[7]
Reversible left ventricular dysfunction associated with raised troponin I after subarachnoid haemorrhage does not preclude successful heart transplantation
[J].
Deibert, E
;
Aiyagari, V
;
Diringer, MN
.
HEART,
2000, 84 (02)
:205-207

Deibert, E
论文数: 0 引用数: 0
h-index: 0
机构:
Washington Univ, Sch Med, Dept Neurol, Neurol Neurosurg Intens Care Unit, St Louis, MO 63110 USA Washington Univ, Sch Med, Dept Neurol, Neurol Neurosurg Intens Care Unit, St Louis, MO 63110 USA

Aiyagari, V
论文数: 0 引用数: 0
h-index: 0
机构:
Washington Univ, Sch Med, Dept Neurol, Neurol Neurosurg Intens Care Unit, St Louis, MO 63110 USA Washington Univ, Sch Med, Dept Neurol, Neurol Neurosurg Intens Care Unit, St Louis, MO 63110 USA

Diringer, MN
论文数: 0 引用数: 0
h-index: 0
机构:
Washington Univ, Sch Med, Dept Neurol, Neurol Neurosurg Intens Care Unit, St Louis, MO 63110 USA Washington Univ, Sch Med, Dept Neurol, Neurol Neurosurg Intens Care Unit, St Louis, MO 63110 USA
[8]
Clinical significance of elevated troponin I levels in patients with nontraumatic subarachnoid hemorrhage
[J].
Deibert, E
;
Barzilai, B
;
Braverman, AC
;
Edwards, DF
;
Aiyagari, V
;
Dacey, R
;
Diringer, M
.
JOURNAL OF NEUROSURGERY,
2003, 98 (04)
:741-746

Deibert, E
论文数: 0 引用数: 0
h-index: 0
机构: Washington Univ, Sch Med, Dept Neurol, St Louis, MO 63108 USA

Barzilai, B
论文数: 0 引用数: 0
h-index: 0
机构: Washington Univ, Sch Med, Dept Neurol, St Louis, MO 63108 USA

Braverman, AC
论文数: 0 引用数: 0
h-index: 0
机构: Washington Univ, Sch Med, Dept Neurol, St Louis, MO 63108 USA

Edwards, DF
论文数: 0 引用数: 0
h-index: 0
机构: Washington Univ, Sch Med, Dept Neurol, St Louis, MO 63108 USA

Aiyagari, V
论文数: 0 引用数: 0
h-index: 0
机构: Washington Univ, Sch Med, Dept Neurol, St Louis, MO 63108 USA

Dacey, R
论文数: 0 引用数: 0
h-index: 0
机构: Washington Univ, Sch Med, Dept Neurol, St Louis, MO 63108 USA

Diringer, M
论文数: 0 引用数: 0
h-index: 0
机构: Washington Univ, Sch Med, Dept Neurol, St Louis, MO 63108 USA
[9]
Troponin I is a more sensitive marker than creatinine kinase MB isoenzyme of left ventricular dysfunction in patients with acute subarachnoid hemorrhage
[J].
Deibert, EM
;
Aiyagari, V
;
Braverman, AC
;
Barzilai, B
;
Dacey, RG
;
Diringer, MN
.
CRITICAL CARE MEDICINE,
1999, 27 (12)
:A59-A59

Deibert, EM
论文数: 0 引用数: 0
h-index: 0
机构:
Washington Univ, Sch Med, St Louis, MO USA Washington Univ, Sch Med, St Louis, MO USA

Aiyagari, V
论文数: 0 引用数: 0
h-index: 0
机构:
Washington Univ, Sch Med, St Louis, MO USA Washington Univ, Sch Med, St Louis, MO USA

Braverman, AC
论文数: 0 引用数: 0
h-index: 0
机构:
Washington Univ, Sch Med, St Louis, MO USA Washington Univ, Sch Med, St Louis, MO USA

Barzilai, B
论文数: 0 引用数: 0
h-index: 0
机构:
Washington Univ, Sch Med, St Louis, MO USA Washington Univ, Sch Med, St Louis, MO USA

Dacey, RG
论文数: 0 引用数: 0
h-index: 0
机构:
Washington Univ, Sch Med, St Louis, MO USA Washington Univ, Sch Med, St Louis, MO USA

Diringer, MN
论文数: 0 引用数: 0
h-index: 0
机构:
Washington Univ, Sch Med, St Louis, MO USA Washington Univ, Sch Med, St Louis, MO USA
[10]
Prognostic significance of admission levels of troponin I in patients with acute ischaemic stroke
[J].
Di Angelantonio, E
;
Fiorelli, M
;
Toni, D
;
Sacchetti, ML
;
Lorenzano, S
;
Falcou, A
;
Ciarla, MV
;
Suppa, M
;
Bonanni, L
;
Bertazzoni, G
;
Aguglia, F
;
Argentino, C
.
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY,
2005, 76 (01)
:76-81

Di Angelantonio, E
论文数: 0 引用数: 0
h-index: 0
机构: Univ Roma La Sapienza, Dept Neurol Sci, I-00185 Rome, Italy

Fiorelli, M
论文数: 0 引用数: 0
h-index: 0
机构: Univ Roma La Sapienza, Dept Neurol Sci, I-00185 Rome, Italy

Toni, D
论文数: 0 引用数: 0
h-index: 0
机构: Univ Roma La Sapienza, Dept Neurol Sci, I-00185 Rome, Italy

Sacchetti, ML
论文数: 0 引用数: 0
h-index: 0
机构: Univ Roma La Sapienza, Dept Neurol Sci, I-00185 Rome, Italy

Lorenzano, S
论文数: 0 引用数: 0
h-index: 0
机构: Univ Roma La Sapienza, Dept Neurol Sci, I-00185 Rome, Italy

Falcou, A
论文数: 0 引用数: 0
h-index: 0
机构: Univ Roma La Sapienza, Dept Neurol Sci, I-00185 Rome, Italy

Ciarla, MV
论文数: 0 引用数: 0
h-index: 0
机构: Univ Roma La Sapienza, Dept Neurol Sci, I-00185 Rome, Italy

Suppa, M
论文数: 0 引用数: 0
h-index: 0
机构: Univ Roma La Sapienza, Dept Neurol Sci, I-00185 Rome, Italy

Bonanni, L
论文数: 0 引用数: 0
h-index: 0
机构: Univ Roma La Sapienza, Dept Neurol Sci, I-00185 Rome, Italy

Bertazzoni, G
论文数: 0 引用数: 0
h-index: 0
机构: Univ Roma La Sapienza, Dept Neurol Sci, I-00185 Rome, Italy

Aguglia, F
论文数: 0 引用数: 0
h-index: 0
机构: Univ Roma La Sapienza, Dept Neurol Sci, I-00185 Rome, Italy

Argentino, C
论文数: 0 引用数: 0
h-index: 0
机构: Univ Roma La Sapienza, Dept Neurol Sci, I-00185 Rome, Italy