Low‐level elevations in high‐sensitivity cardiac troponin predict obstructive coronary artery disease and revascularisation in rural patients with <scp>non‐ST</scp>‐elevation myocardial infarction referred for coronary angiography-Reference-Cited by-同舟云学术

Low‐level elevations in high‐sensitivity cardiac troponin predict obstructive coronary artery disease and revascularisation in rural patients with non‐ST‐elevation myocardial infarction referred for coronary angiography

Published:2024-05-29 Issue:6 Volume:54 Page:1035-1039
ISSN:1444-0903
Container-title:Internal Medicine Journal
language:en
Short-container-title:Internal Medicine Journal

Author:

Lan Nick S. R.¹²^ORCID,Goh Angela¹,Dwivedi Girish¹²³^ORCID,Hillis Graham S.²⁴,Rankin James M.¹,Chew Derek P.⁵,Ihdayhid Abdul Rahman¹³⁶

Affiliation:

1. Department of Cardiology Fiona Stanley Hospital Perth Western Australia Australia

2. Medical School The University of Western Australia Perth Western Australia Australia

3. Harry Perkins Institute of Medical Research Perth Western Australia Australia

4. Department of Cardiology Royal Perth Hospital Perth Western Australia Australia

5. Victorian Heart Hospital Monash University Melbourne Victoria Australia

6. Medical School Curtin University Perth Western Australia Australia

Abstract

AbstractRural patients with non‐ST‐elevation myocardial infarction (NSTEMI) are transferred to metropolitan hospitals for invasive coronary angiography (ICA). Yet, many do not have obstructive coronary artery disease (CAD). In this analysis of rural Western Australian patients transferred for ICA for NSTEMI, low‐level elevations in high‐sensitivity cardiac troponin (≤5× upper reference limit) were associated with less obstructive CAD and revascularisation. Along with other factors, this may help identify rural patients not requiring transfer for ICA.

Publisher

Wiley

Link

https://onlinelibrary.wiley.com/doi/pdf/10.1111/imj.16412

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