Troponin levels - page 2
Regarding troponin levels... Does the higher the troponin level = more cardiac damage and poorer prognois? Or after a certain level, it's all considered extensive damage? I'm a fairly new... Read More
Sep 23, '05Joined: Aug '05; Posts: 46; Likes: 1Quote from Angie O'Plasty, RNThe last person my hospital stented, coded and died
That's why I love this job. We literally bring people back from the dead. It's just so amazing to work this unit, isn't it?
Sep 23, '05Joined: Aug '04; Posts: 9,279; Likes: 4,302Quote from JubeiAnd what would've happened to that patient if no stent was placed?The last person my hospital stented, coded and died
Sep 23, '05Occupation: RN Specialty: 14 year(s) of experience in tele, stepdown/PCU, med/surg ; From: US ; Joined: Oct '01; Posts: 1,352; Likes: 81Also beware of false-high troponins often caused by sepsis, "leaking" troponin, or even coumadin usage (the blood has to clot to accurately measure troponins; may not clot completely if on anticoags)
Sep 24, '05Joined: Aug '05; Posts: 488; Likes: 181Hey Y'all
Got to looking in to this (troponin I & troponin T--who knew?) Ran across a Jama article where they routinely checked troponin on 209 NON-CARDIAC pts in ICUs. 32 of these had +troponin. Of the 32, 12 were recognized by the ICU staff as having MIs but 20 had 'silent' MIs while in the ICU. Again-of the 32 there wasn't significant difference in mortality between the group that was recognized and the silent-mi group (40% diagnosed, 42% silent). The unrecognized mi's were more likely to be either young or black.
Also--at least some time in recent past, the Troponin T was only detectable by one manufacturers machines but several companies made lab equipt that found Troponin I.
for what it's worth