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Information Journal Paper

Title

Association of Troponin-I Level on Admission with 6-month Clinical Consequences in Acute Coronary Syndrome Patients: A Preventive Approach in Patient Care

Pages

  1-45

Abstract

 Background: Cardiovascular diseases are the leading cause of mortality worldwide. Therefore, it is important to predict the future consequences of the disease in patients who have recovered. Objectives: We sought to determine the relationship between troponin-I level and 6-month clinical consequences (i. e., re-infarction, death, re-angiography and coronary artery bypass grafting) in patients with acute coronary syndrome (ACS). Methods: This prospective cross-sectional study was performed among 60 patients with ACS admitted to Ayatollah Mousavi Hospital in Zanjan, Iran. The participants were chosen using the convenience sampling method. troponin-I level in these patients was initially evaluated. Afterwards, they were followed up for six months in terms of clinical consequences. A checklist was prepared to collect the required data. The receiver operating characteristic (ROC) analysis was conducted to determine the predictive power of high-sensitivity troponin I for the mentioned consequences. Iodine index was calculated to determine the cutoff point for this enzyme in order to predict the consequences. Results: In general, 66. 2% of the participants were male and the mean age was 60. 46 ± 12. 78 years. We found that 21. 2% of the participants experienced one of the four clinical consequences in the follow-up period of 6 months. The sub-curved surface was calculated to be 0. 705 for the prediction of consequences. The cutoff point for the prediction of consequences was 32. 5; the negative predictive value for the cutoff point was 32. 5, which was equal to 89. 8%. Conclusion: troponin-I has an acceptable predictive power to identify 6-month consequences of ACS. Moreover, considering the negative predictive value of troponin-I, it is recommended to use this biomarker in patients with ACS. In addition, healthcare providers should pay more attention to the follow-up of patients after discharge and design preventive programs.

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    Cite

    APA: Copy

    Ahangar, Hassan, HEYDARI, ATEFEH, Tahrekhani, Mehran, MOHAMMADI, MARYAM, ABDI, MOHAMMAD, & DJALILVAND, AHMAD. (2021). Association of Troponin-I Level on Admission with 6-month Clinical Consequences in Acute Coronary Syndrome Patients: A Preventive Approach in Patient Care. PREVENTIVE CARE IN NURSING & MIDWIFERY JOURNAL, 11(4), 1-45. SID. https://sid.ir/paper/662609/en

    Vancouver: Copy

    Ahangar Hassan, HEYDARI ATEFEH, Tahrekhani Mehran, MOHAMMADI MARYAM, ABDI MOHAMMAD, DJALILVAND AHMAD. Association of Troponin-I Level on Admission with 6-month Clinical Consequences in Acute Coronary Syndrome Patients: A Preventive Approach in Patient Care. PREVENTIVE CARE IN NURSING & MIDWIFERY JOURNAL[Internet]. 2021;11(4):1-45. Available from: https://sid.ir/paper/662609/en

    IEEE: Copy

    Hassan Ahangar, ATEFEH HEYDARI, Mehran Tahrekhani, MARYAM MOHAMMADI, MOHAMMAD ABDI, and AHMAD DJALILVAND, “Association of Troponin-I Level on Admission with 6-month Clinical Consequences in Acute Coronary Syndrome Patients: A Preventive Approach in Patient Care,” PREVENTIVE CARE IN NURSING & MIDWIFERY JOURNAL, vol. 11, no. 4, pp. 1–45, 2021, [Online]. Available: https://sid.ir/paper/662609/en

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