Is Serum Troponin-I Evaluation Necessary in Pediatric Emergency Departments? A Single-Center Experience Çocuk Acil Servislerinde Serum Troponin-I Değerlendirilmesi Gerekli mi? Tek Merkez Deneyimi
Genel Tip Dergisi, cilt.34, sa.6, ss.839-845, 2024 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 34 Sayı: 6
- Basım Tarihi: 2024
- Doi Numarası: 10.54005/geneltip.1533661
- Dergi Adı: Genel Tip Dergisi
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.839-845
- Anahtar Kelimeler: Cardiac, Child, Pediatric emergency medicine, Troponin
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Aim: Troponin, a structural protein of myocardial cells, is frequently used as an indicator of adult cardiac injury, but there are no established guidelines for its routine use in pediatric clinical practice. In this study, we aimed to retrospectively evaluate the demographic characteristics, symptoms, and follow-up results of patients who applied to the pediatric emergency service with various clinical complaints and requested troponin levels, and the role of serum troponin levels in diagnosis. Materials and Methods: We retrospectively analyzed the demographic characteristics, symptoms, and follow-ups of patients aged one month to 18 years, admitted to our pediatric emergency department, and requiring troponin levels over two years. Results: Out of the 1890 patients included in the study, 50.9% were female, and their mean age was 12.36±4.32 years. The most common reasons for requesting cardiac troponin were chest pain (59.1%), poisoning (10%), palpitations (8.3%), and syncope (7%). Only 55 (2.9%) of the cardiac troponin tests were found to be elevated based on the normal reference range. Among the patients with elevated troponin levels, chest pain was the most frequently observed complaint (n=29, 52.7%). On further examination, five patients were diagnosed with myocarditis and two patients with multisystem inflammatory syndrome (MIS-C), while the most common noncardiac cause of troponin elevation was carbon monoxide poisoning. Conclusions: Performing troponin tests in patients with suspected cardiac pathology based on their medical history, physical examination, and electrocardiography is necessary to reduce unnecessary testing and costs. Additionally, interpreting troponin levels should take into account the patient’s overall clinical evaluation.