The relationship between infarct volume and high sensitivity troponin I level in patients diagnosed with ischemic stroke


Aksu A., Avci A., Yolcu S., Kaya A., AVCİ B. Ş., TUĞCAN M. O., ...Daha Fazla

Irish Journal of Medical Science, cilt.192, sa.2, ss.901-906, 2023 (SCI-Expanded, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 192 Sayı: 2
  • Basım Tarihi: 2023
  • Doi Numarası: 10.1007/s11845-022-03048-0
  • Dergi Adı: Irish Journal of Medical Science
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Biotechnology Research Abstracts, CAB Abstracts
  • Sayfa Sayıları: ss.901-906
  • Anahtar Kelimeler: Acute ischemic stroke, Emergency, GKS, High sensitive troponin I, Mortality
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Background: Various biomarkers and clinical variables are used to determine the probability risk, diagnosis, and the prognosis of acute ischemic stroke, but effective markers are still warranted. Aim: We aimed to determine the effectiveness of Hs-cTnI levels to predict the prognosis of AIS. Methods: This study was planned as a retrospective observational study. Patients with available data and over 18 years old were included in the study. Diffusion magnetic resonance images were evaluated by a senior radiologist and the infarct size was calculated. Results: We included 110 (54.2%) males and 93 (45.8%) females; a total of 203 patients with a mean age of 68.9 were included in the present study. Patients were divided into two groups according to the cut-off level of Hs-troponin-I (group I: lower than 8.5 mg/dL; group 2: higher than 8.5 mg/dL). These two groups were compared for mortality and infarct volume. Infarct volume and the mortality ratio of the group 2 was significantly higher [p = 0.041, U = 4294.5, LV = 6.5 (IQR = 1.8–25.4)]. Conclusions: Hs-troponin I may be an effective biomarker in predicting the prognosis of patients with acute ischemic stroke. Multicenter comprehensive prospective studies are warranted to obtain stronger results.