The combination of a continuous 12-lead ECG and troponin T. A valuable tool for risk stratification during the first 6 hours in patients with chest pain and a non-diagnostic ECG
Open Access
- 1 September 2000
- journal article
- Published by Oxford University Press (OUP)
- Vol. 21 (17) , 1464-1472
- https://doi.org/10.1053/euhj.2000.2178
Abstract
Aims The aim was to examine the early prognostic value of a combination of a continuous 12-lead ECG and troponin T in patients with chest pain and an ECG non-diagnostic for acute myocardial infarction. Methods and Results ST monitoring was performed and samples for analysis of troponin T were collected from admission for 12h from 598 patients. After 6h, the peak value of troponin T in 27% was ≥0·10μg.l−1, while 15% had had ST episodes, defined as transient ST deviations of at least 0·1mV. Both a troponin T ≥0·10μg.l−1and ST episodes predicted worsening outcome. After 30 days, there were 6·8% and 1·4% (P−1, respectively. The corresponding event rates in patients with and without ST episodes were 10% and 1·6% (PConclusions A combination of continuous 12-lead monitoring and troponin T seems to be a valuable tool for risk stratification during the first 6h in this population.Keywords
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