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REVISTA DE CHIMIE
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https://doi.org/10.37358/Rev.Chim.1949

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Revista de Chimie (Rev. Chim.), Year 2020, Volume 71, Issue 2, 68-73

https://doi.org/10.37358/RC.20.2.7894

Paul-Mihai Boarescu, Ioana Chirila, Adriana Elena Bulboaca, Razvan Olimpiu Mada, Cerasela Mihaela Goidescu, Diana Larisa Mocan-Hognogi, Alina Buzuriu, Adina Maria David, Andreea Cotut, Luminita Animarie Vida-Simiti

Clinical Significance of Increased Serum Levels of Troponin I in Patients from the Emergency Department of a County Hospital

Abstract:

Elevated cardiac troponin I (cTnI) levels are diagnostic for myocardial injury. Moreover, they are essential for risk stratification in patients with acute cardiac ischemia and heart failure. However, their usefulness is not limited to the previous clinical conditions. The aim of this study was to evaluate the clinical significance of cTnI levels in the emergency department.In 324 patients, out of the 4147 referred to the emergency department, serum levels of cTnI were evaluated and represented the study population. Subjects were divided into 2 groups: Group 1 (66 patients) with cTnI ≥ 0.04 ng/mL and Group 2 (258 patients) with cTnI level [ 0.04 ng/mL. The clinical characteristics, laboratory data, ECG findings, echocardiographic abnormalities and discharge diagnosis were compared between the two groups. Patients with cTnI ≥0.04 ng/mL had more often a history of ischemic heart disease, lower levels of oxygen saturation, higher levels of blood glucose, increased white blood cells count, higher heart rate and deeper ST-segment depressions on ECG. The most common discharge diagnosis was heart failure. Although an elevated level of cTnI is highly suggestive for myocardial injury, it should always be interpretated in the clinical context. Heart failure is an important diagnosis in patients with elevated cTnI levels.
Keywords:
troponin I; Emergency Department; myocardial injury; heart failure

Issue: 2020, Volume 71, Issue 2
Pages: 68-73
Publication date: 2020/3/3
https://doi.org/10.37358/RC.20.2.7894
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Creative Commons License
This article is published under the Creative Commons Attribution 4.0 International License
Citation Styles
Cite this article as:
BOARESCU, P., CHIRILA, I., BULBOACA, A.E., MADA, R.O., GOIDESCU, C.M., MOCAN-HOGNOGI, D.L., BUZURIU, A., DAVID, A.M., COTUT, A., VIDA-SIMITI, L.A., Clinical Significance of Increased Serum Levels of Troponin I in Patients from the Emergency Department of a County Hospital, Rev. Chim., 71(2), 2020, 68-73.

Vancouver
Boarescu P, Chirila I, Bulboaca AE, Mada RO, Goidescu CM, Mocan-Hognogi DL, Buzuriu A, David AM, Cotut A, Vida-Simiti LA. Clinical Significance of Increased Serum Levels of Troponin I in Patients from the Emergency Department of a County Hospital. Rev. Chim.[internet]. 2020 Feb;71(2):68-73. Available from: https://doi.org/10.37358/RC.20.2.7894


APA 6th edition
Boarescu, P., Chirila, I., Bulboaca, A.E., Mada, R.O., Goidescu, C.M., Mocan-Hognogi, D.L.,... Vida-Simiti, L.A. (2020). Clinical Significance of Increased Serum Levels of Troponin I in Patients from the Emergency Department of a County Hospital. Revista de Chimie, 71(2), 68-73. https://doi.org/10.37358/RC.20.2.7894


Harvard
Boarescu, P., Chirila, I., Bulboaca, A.E., Mada, R.O., Goidescu, C.M., Mocan-Hognogi, D.L., Buzuriu, A., David, A.M., Cotut, A., Vida-Simiti, L.A. (2020). 'Clinical Significance of Increased Serum Levels of Troponin I in Patients from the Emergency Department of a County Hospital', Revista de Chimie, 71(2), pp. 68-73. https://doi.org/10.37358/RC.20.2.7894


IEEE
P. Boarescu, I. Chirila, A.E. Bulboaca, R.O. Mada, C.M. Goidescu, D.L. Mocan-Hognogi, A. Buzuriu, A.M. David, A. Cotut, L.A. Vida-Simiti, "Clinical Significance of Increased Serum Levels of Troponin I in Patients from the Emergency Department of a County Hospital". Revista de Chimie, vol. 71, no. 2, pp. 68-73, 2020. [online]. https://doi.org/10.37358/RC.20.2.7894


Text
Paul-Mihai Boarescu, Ioana Chirila, Adriana Elena Bulboaca, Razvan Olimpiu Mada, Cerasela Mihaela Goidescu, Diana Larisa Mocan-Hognogi, Alina Buzuriu, Adina Maria David, Andreea Cotut, Luminita Animarie Vida-Simiti,
Clinical Significance of Increased Serum Levels of Troponin I in Patients from the Emergency Department of a County Hospital,
Revista de Chimie,
Volume 71, Issue 2,
2020,
Pages 68-73,
ISSN 2668-8212,
https://doi.org/10.37358/RC.20.2.7894.
(https://revistadechimie.ro/Articles.asp?ID=7894)
Keywords: troponin I; Emergency Department; myocardial injury; heart failure


RIS
TY - JOUR
T1 - Clinical Significance of Increased Serum Levels of Troponin I in Patients from the Emergency Department of a County Hospital
A1 - Boarescu, Paul-Mihai
A2 - Chirila, Ioana
A3 - Bulboaca, Adriana Elena
A4 - Mada, Razvan Olimpiu
A5 - Goidescu, Cerasela Mihaela
A6 - Mocan-Hognogi, Diana Larisa
A7 - Buzuriu, Alina
A8 - David, Adina Maria
A9 - Cotut, Andreea
A10 - Vida-Simiti, Luminita Animarie
JF - Revista de Chimie
JO - Rev. Chim.
PB - Revista de Chimie SRL
SN - 2668-8212
Y1 - 2020
VL - 71
IS - 2
SP - 68
EP - 73
UR - https://doi.org/10.37358/RC.20.2.7894
KW - troponin I
KW - Emergency Department
KW - myocardial injury
KW - heart failure
ER -


BibTex
@article{RevCh2020P68,
author = {Boarescu Paul-Mihai and Chirila Ioana and Bulboaca Adriana Elena and Mada Razvan Olimpiu and Goidescu Cerasela Mihaela and Mocan-Hognogi Diana Larisa and Buzuriu Alina and David Adina Maria and Cotut Andreea and Vida-Simiti Luminita Animarie},
title = {Clinical Significance of Increased Serum Levels of Troponin I in Patients from the Emergency Department of a County Hospital},
journal = {Revista de Chimie},
volume = {71},
number = {2},
pages = {68-73},
year = {2020},
issn = {2668-8212},
doi = {https://doi.org/10.37358/RC.20.2.7894},
url = {https://revistadechimie.ro/Articles.asp?ID=7894}
}
 
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