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

IF 1.4 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
George V. Dous , Angela C. Grigos , Richard Grodman
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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.

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。
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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.
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