JCM, Vol. 11, Pages 7147: The Predictive Power of the 14–51 Ng/L High Sensitive Troponin T (hsTnT) Values for Predicting Cardiac Revascularization in a Clinical Setting

Figure 1. High sensitive Troponin T (hsTnT) protocol used in the Erasmus Medical Center.

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Figure 2. Patient inclusion flowchart. Event is defined as a revascularization within 90 days after initial presentation at the Emergency Department (ED) of the Erasmus MC Hospital.

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Figure 3. Overview of the delta (Δ) of the values of the second high sensitive Troponin T (hsTnT) measurements in the patients that had an event (n = 60) or did not have an event (n = 147) (A) or expressed as event/no event according to Δ hsTnT status at the ED (B).

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Table 1. Characteristics of the patient in the event and the no-event group.

Table 1. Characteristics of the patient in the event and the no-event group.

Event < 90 Days%No Event < 90 Days% n = 75 n = 281 SexMale6080%16960%Female1520%11240%Age (years)
Complaints 63.7 ± 11.6 67.0 ± 13.5 Chest pain7195%11742%Dyspnoea45%12043%Both912%4412%Cardiac HistoryNone2736%7828%CABG108%176%PCI2331%4817%CABG + PCI68%166%Infarct without revascularization21%216%Other heart disease62%9927%Unknown10%21%Time of complaints until 1st hsTnT blood draw<3 h4459%5319%3–6 h57%217%>6 h2027%17362%Unknown68%3412%Other parameters1st hsTnT (average)29.3 ± 10.3 26.3 ±10.0 Kidney Function eGFR (mL/min)68.5 ± 18.4 59.6 ± 21.3 CK-MB (mass)3.7 ± 2.9 3.5 ± 2.6 HsTnT drawn previously (>12 h)2027%8731%Second hsTnT2nd hsTnT (average)440.02 ± 1130 53.51 ± 214.1 ≥73749%3111%<72331%11641%Not drawn1520%13448%AdmissionsDicharged68%11441%Admitted/transferred6992%15957%Deceased00%83%Cardiac EventPCI68%xxCABG6992%xxInfarction 5269%114%

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