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

  1. by   Jubei
    Quote from Angie O'Plasty, RN


    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?
    The last person my hospital stented, coded and died
  2. by   UM Review RN
    Quote from Jubei
    The last person my hospital stented, coded and died
    And what would've happened to that patient if no stent was placed?
  3. by   zacarias
    Also 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)
  4. by   papawjohn
    Hey 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.

    jama.ama-assn.org/cgt/content/abstract/273/24/1945

    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
    Papaw John

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