PROGNOSTIC VALUE OF TROPONIN T IN PATIENTS WITH ACUTE ISCHEMIC STROKE IN EMERGENCY DEPARTMENT

ONUR AKPINAR¹, ZEYNEP KARAKAYA²

¹Near East University, Department of Cardiology, Lefkoşa, KKTC, Cyprus - ²Katip Çelebi University, İzmir Atatürk Education and Research Hospital, Emergency Medicine Service, İzmir, Turkey

Introduction: It’s well known that elevated troponin levels have prognostic value in stroke patients. Mostly these patients are old with concurrent cardiac and/or renal diseases. The aim of the present study was to evaluate elevated troponin levels in stroke patients who presented to Emergency Department (ED) with no known cardiac or renal diseases at time of admission.

Materials and methods: This study group included 64 consecutive patients who were admitted to the ED with acute ischemic stroke. Patients with cardiac and/or renal disease history, severe bradyarrhythmia or tachyarrhythmia, atrial fibrillation and/or pathologic Q wave in electrocardiograph and high serum creatinine levels were excluded.

Results: Of 64 patients, 11 had inconclusive troponin T levels above 0.014 ng/mL. Twelve patients died during the follow-up in hospital period. We have shown that patients who had high troponin T levels in ED had poor prognosis.

Conclusions: In ED, high troponin T levels had effect on in-hospital mortality in stroke patients who did not have any known cardiac or renal problems.