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J Am Coll Cardiol, 2004; 43:958-965, doi:10.1016/j.jacc.2003.10.036
© 2004 by the American College of Cardiology Foundation
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Implication of different cardiac troponin I levels for clinical outcomes and prognosis of acute chest pain patients

Michael C. Kontos, MD*{dagger}§,*, Rakesh Shah, MD*, Lucie M. Fritz, PhD{ddagger}, F. Philip Anderson, PhD{ddagger}, James L. Tatum, MD§, Joseph P. Ornato, MD{dagger} and Robert L. Jesse, MD, PhD*

* Department of Internal Medicine, Cardiology Division, Medical College of Virginia, Virginia Commonwealth University, Richmond, Virginia, USA
{dagger} Department of Emergency Medicine, Medical College of Virginia, Virginia Commonwealth University, Richmond, Virginia, USA
{ddagger} Department of Pathology, Clinical Chemistry Division, Medical College of Virginia, Virginia Commonwealth University, Richmond, Virginia, USA
§ Department of Radiology, Medical College of Virginia, Virginia Commonwealth University, Richmond, Virginia, USA



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Figure 1 Kaplan-Meier curves of six-month cardiac mortality for the different cardiac troponin I (cTnI) values. The trend toward increased mortality and increased cTnI was highly significant (p < 0.001). In addition, mortality was significantly different (p < 0.01) between the negative (neg) cTnI and low, intermediate (inter), and high cTnI groups.

 


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Figure 2 Positive outcomes based on peak cardiac troponin I (cTnI) values. The trend toward an increased number of events for increasing peak cTnI values was highly significant (p < 0.001). *p < 0.001. #p < 0.02. Open bars = no troponin I; vertically striped bars = low troponin I; horizontally striped bars = intermediate troponin I; diagonally striped bars = high troponin I. MI = myocardial infarction; Revasc = revascularization; Sig Dz = significant disease.

 


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Figure 3 Positive outcomes based on peak cardiac troponin I (cTnI) values after excluding creatine kinase-MB myocardial infarction (MI) at the time of admission as an end point. The trend toward an increased number of events for increasing peak cTnI values was highly significant (p < 0.001). *p < 0.02. Open bars = no troponin I; vertically striped bars = low troponin I; horizontally striped bars = intermediate troponin I; diagonally striped bars = high troponin I. Revasc = revascularization; Sig Dz = significant disease.

 




 
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