Elevated troponin in patients with acute stroke – Is it a true heart attack?

IF 1.4 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Egyptian Heart Journal Pub Date : 2017-09-01 DOI:10.1016/j.ehj.2017.01.005
George V. Dous , Angela C. Grigos , Richard Grodman
{"title":"Elevated troponin in patients with acute stroke – Is it a true heart attack?","authors":"George V. Dous ,&nbsp;Angela C. Grigos ,&nbsp;Richard Grodman","doi":"10.1016/j.ehj.2017.01.005","DOIUrl":null,"url":null,"abstract":"<div><p>Although the prognostic value of a positive troponin in an acute stroke patient is still uncertain, it is a commonly encountered clinical situation given that Ischemic Heart Disease (IHD) and cerebrovascular disease (CVD) frequently co-exist in the same patient and share similar risk factors. Our objectives in this review are to (1) identify the biologic relationship between acute cerebrovascular stroke and elevated troponin levels, (2) determine the pathophysiologic differences between positive troponin in the setting of acute stroke versus acute myocardial infarction (AMI), and (3) examine whether positive troponin in the setting of acute stroke has prognostic significance. We also will provide an insight analysis of some of the available studies and will provide guidance for a management approach based on the available data according to the current guidelines.</p></div>","PeriodicalId":44962,"journal":{"name":"Egyptian Heart Journal","volume":"69 3","pages":"Pages 165-170"},"PeriodicalIF":1.4000,"publicationDate":"2017-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ehj.2017.01.005","citationCount":"9","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Egyptian Heart Journal","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1110260816300692","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
引用次数: 9

Abstract

Although the prognostic value of a positive troponin in an acute stroke patient is still uncertain, it is a commonly encountered clinical situation given that Ischemic Heart Disease (IHD) and cerebrovascular disease (CVD) frequently co-exist in the same patient and share similar risk factors. Our objectives in this review are to (1) identify the biologic relationship between acute cerebrovascular stroke and elevated troponin levels, (2) determine the pathophysiologic differences between positive troponin in the setting of acute stroke versus acute myocardial infarction (AMI), and (3) examine whether positive troponin in the setting of acute stroke has prognostic significance. We also will provide an insight analysis of some of the available studies and will provide guidance for a management approach based on the available data according to the current guidelines.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
急性中风患者肌钙蛋白升高——这是真正的心脏病发作吗?
虽然肌钙蛋白阳性对急性脑卒中患者的预后价值尚不确定,但鉴于缺血性心脏病(IHD)和脑血管疾病(CVD)在同一患者中经常共存,并且具有相似的危险因素,这是一种常见的临床情况。我们在这篇综述中的目的是:(1)确定急性脑血管卒中与肌钙蛋白水平升高之间的生物学关系,(2)确定急性卒中与急性心肌梗死(AMI)情况下肌钙蛋白阳性的病理生理差异,以及(3)检查急性卒中情况下肌钙蛋白阳性是否具有预后意义。我们还将对一些现有的研究进行深入分析,并根据现有的指导方针,根据现有的数据为管理方法提供指导。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
Egyptian Heart Journal
Egyptian Heart Journal CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
2.10
自引率
0.00%
发文量
82
审稿时长
9 weeks
期刊介绍: The Egyptian Heart Journal is the official journal of the Egyptian Society of Cardiology. It is an international journal that publishes peer-reviewed articles on all aspects of cardiovascular disease, including original clinical studies and translational investigations. The journal publishes research, review articles, case reports and commentary articles, as well as editorials interpreting and commenting on the research presented. In addition, it provides a forum for the exchange of information on all aspects of cardiovascular medicine, including educational issues.
期刊最新文献
Renal artery embolism successfully managed by ultrasound enhanced catheter directed thrombolysis Congenital atresia of left main coronary artery Late presenting complete heart block after surgical repair of ventricular septal defect Risk factors for acute coronary syndrome in patients below the age of 40 years Intravascular evaluation of coronary atherosclerotic lesions among Egyptian diabetic patients with acute coronary syndromes
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1