Incidence, predictors, and clinical significance of troponin-I elevation without creatine kinase elevation following percutaneous coronary interventions

被引:59
作者
Natarajan, MK
Kreatsoulas, C
Velianou, JL
Mehta, SR
Pericak, D
Goodhart, DM
机构
[1] McMaster Univ, Dept Med, Div Cardiol, Hamilton, ON, Canada
[2] Univ Calgary, Foothills Hosp, Dept Med, Div Cardiol, Calgary, AB, Canada
关键词
D O I
10.1016/j.amjcard.2003.11.069
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The objectives of this study were to investigate the incidence, predictors, and clinical significance of isolated postprocedural troponin-I elevations in a consecutive series of patients who underwent percutaneous coronary intervention. We observed, in a series of 1,128 patients, that isolated troponin-I elevations without concomitant creatine kinase elevations occurred in 17% of patients after percutaneous coronary intervention, and that even troponin-I elevations 5 times above the upper limit of normal did not predict events after hospital discharge. (C) 2004 by Excerpta Medica, Inc.
引用
收藏
页码:750 / 753
页数:4
相关论文
共 15 条
[1]   Minor myocardial damage and prognosis - Are spontaneous and percutaneous coronary intervention-related events different? [J].
Akkerhuis, KM ;
Alexander, JH ;
Tardiff, BE ;
Boersma, E ;
Harrington, RA ;
Lincoff, AM ;
Simoons, ML .
CIRCULATION, 2002, 105 (05) :554-556
[2]   Cardiac-specific troponin I levels to predict the risk of mortality in patients with acute coronary syndromes [J].
Antman, EM ;
Tanasijevic, MJ ;
Thompson, B ;
Schactman, M ;
McCabe, CH ;
Cannon, CP ;
Fischer, GA ;
Fung, AY ;
Thompson, C ;
Wybenga, D ;
Braunwald, E .
NEW ENGLAND JOURNAL OF MEDICINE, 1996, 335 (18) :1342-1349
[3]   Sensitivity and long-term prognostic value of cardiac troponin-I increase shortly after percutaneous transluminal coronary angioplasty [J].
Attali, P ;
Aleil, B ;
Petitpas, G ;
DePoli, F ;
Wiesel, ML ;
Wuillermin, A ;
Cazenave, JP ;
Mossard, JM .
CLINICAL CARDIOLOGY, 1998, 21 (05) :353-356
[4]   Relation of minor cardiac troponin I elevation to late cardiac events after uncomplicated elective successful percutaneous transluminal coronary angioplasty for angina pectoris [J].
Bertinchant, JP ;
Polge, A ;
Ledermann, B ;
Genet, L ;
Fabbro-Peray, P ;
Raczka, F ;
Brunet, J ;
Poirey, S ;
Wittenberg, O ;
Pernel, I ;
Nigond, J .
AMERICAN JOURNAL OF CARDIOLOGY, 1999, 84 (01) :51-57
[5]   Prognostic significance of elevated troponin I after percutaneous coronary intervention [J].
Cantor, WJ ;
Newby, LK ;
Christenson, RH ;
Tuttle, RH ;
Hasselblad, V ;
Armstrong, PW ;
Moliterno, DJ ;
Califf, RM ;
Topol, EJ ;
Ohman, EM .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2002, 39 (11) :1738-1744
[6]   Prognostic value of cardiac troponin-I levels following catheter-based coronary interventions [J].
Fuchs, S ;
Kornowski, R ;
Mehran, R ;
Lansky, AJ ;
Satler, LF ;
Pichard, AD ;
Kent, KM ;
Clark, CE ;
Stone, GW ;
Leon, MB .
AMERICAN JOURNAL OF CARDIOLOGY, 2000, 85 (09) :1077-1082
[7]   Prognostic value of cardiac troponin I re-elevation following percutaneous coronary intervention in high-risk patients with acute coronary syndromes [J].
Fuchs, S ;
Gruberg, L ;
Singh, S ;
Stabile, E ;
Duncan, C ;
Wu, HS ;
Waksman, R ;
Satler, LF ;
Pichard, AD ;
Kent, KM ;
Kornowski, R .
AMERICAN JOURNAL OF CARDIOLOGY, 2001, 88 (02) :129-133
[8]  
Gruberg L, 2002, CATHETER CARDIOVASC, V55, P180
[9]   Troponisms, necrosettes, enzyme leaks, creatinine phosphokinase bumps, and infarctlets - What's behind this new lexicon and what does it add? [J].
Holmes, DR ;
Berger, PB .
CIRCULATION, 2001, 104 (06) :627-629
[10]  
LaVecchia L, 1996, CORONARY ARTERY DIS, V7, P535