Researchers identified 21,668 inpatients in the Veterans Affairs central databases in 2006 who had elevated troponin levels and were eventually discharged from the hospital. ... There was also some variability in troponin assays at some medical centers
His resting EKG suggested an old inferior wall infarct and his troponins were normal.
They cautioned that as an observational analysis, the study is susceptible to residual confounding, and that other potentially predictive factors, such as C-reactive protein and troponin, were not compared to
The trial included 400 consecutive patients without known coronary artery disease and a negative initial serum troponin level. ... The study hospital did not have access to high-sensitivity troponin testing, which would have reduced the number of
Under the new universal definition, troponin is the only recommended diagnostic biomarker for MI. ... Troponin levels are commonly elevated without any myocardial injury in chronic kidney disease.
While unrelated to VBP, specific documentation of NSTEMI for patients with acute coronary syndrome and elevated troponin levels is also essential for correct DRG assignment and hospital reimbursement when the aggressive
Their troponins are all normal, as are their EKGs. You wonder why these patients need admission when this is obviously musculoskeletal pain and all they need are nonsteroidals.
Finally, the guideline concludes with advice on surveillance for perioperative myocardial infarction, recommending troponin measurement and electrocardiogram if a patient has signs or symptoms suggestive of myocardial ischemia or infarction.
All had a primary presenting symptom of chest pain, chest tightness, chest burning, or chest pressure, as well as 2 negative troponin tests.
P<0.001), heart rate outside the range of 80 to 120 beats/min (P=0.017), lower oxygen saturation (P=0.033), higher creatinine (P<0.001), elevated troponin level