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Kousa O, Addasi Y, Machanahalli Balakrishna A, Pajjuru VSK, Bardwell JK, Walters RW, Ponamgi S, Alla VM. Elevated troponin in patients with acute gastrointestinal bleeding: prevalence, predictors and outcomes. Future Cardiol 2022; 18:709-717. [PMID: 35770979 DOI: 10.2217/fca-2021-0143] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Background: Cardiac troponin (cTn) can also be elevated in patients with non-cardiac illnesses. The utility of elevated cTn in patients with acute gastrointestinal bleeding (AGIB) is unclear. Methods: We retrospectively identified all patients admitted with AGIB who had cTn ordered. We assessed the prevalence, predictors and mortality. Results: A total of 172 patients with AGIB were included in the study, of whom 17% had abnormal cTn. Predictors of elevated cTn were advanced age, lower BMI, coronary artery disease and chronic kidney disease. The abnormal cTn group had more cardiac consultation and procedures and longer length of stay. However, there was no difference in mortality between the two groups. Conclusion: Elevated cTn in patients with AGIB was associated with more cardiology consultation and downstream cardiac testing, greater delay to endoscopic evaluation and longer length of stay, without significantly affecting the mortality.
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Affiliation(s)
- Omar Kousa
- Department of Cardiology, Creighton University School of Medicine, Omaha, Nebraska, NE 68124, USA
| | - Yazan Addasi
- Department of Internal Medicine, Creighton UniversitySchool of Medicine, Omaha, Nebraska, NE 68124, USA
| | | | | | - Josiah K Bardwell
- Department of Internal Medicine, Creighton UniversitySchool of Medicine, Omaha, Nebraska, NE 68124, USA
| | - Ryan W Walters
- Department of Clinical Research, Creighton University School of Medicine, Omaha, Nebraska, NE 68124, USA
| | - Shiva Ponamgi
- Department of Cardiology, Creighton University School of Medicine, Omaha, Nebraska, NE 68124, USA
| | - Venkata Mahesh Alla
- Department of Cardiology, Creighton University School of Medicine, Omaha, Nebraska, NE 68124, USA
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Balakrishna AM, Ismayl M, Pajjuru VSK, Walters R, Aggarwal G, Ponamgi S, Smer AM. TEMPORAL TRENDS AND GENDER DIFFERENCES IN THE UTILIZATION OF TRANSCATHETER AORTIC VALVE REPLACEMENT IN PATIENTS WITH BICUSPID AORTIC STENOSIS. J Am Coll Cardiol 2022. [DOI: 10.1016/s0735-1097(22)01711-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Ismayl M, Balakrishna AM, Pajjuru VSK, Thandra A, Smer AM. OUTCOMES OF EMERGENCY TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR): AN UPDATED META-ANALYSIS. J Am Coll Cardiol 2022. [DOI: 10.1016/s0735-1097(22)01700-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Pajjuru VSK, Dang G, Anugula D, Aboeata A. FOOTPRINTS OF A THROMBUS EN ROUTE: A DISGUISED PRESENTATION OF CARDIOEMBOLIC STROKE. J Am Coll Cardiol 2020. [DOI: 10.1016/s0735-1097(20)33287-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Kousa O, Essa A, Ahsan M, Pajjuru VSK, Anani A, Saleh M, Ahmad A, Baskaran J, Alali Y, Walters R, Haddad TM, Smer AM. THE IMPACT OF ROUTINE CARDIOLOGY CONSULTATION ON CRITICALLY ILL PATIENTS WITH ELEVATED TROPONIN LEVELS. J Am Coll Cardiol 2020. [DOI: 10.1016/s0735-1097(20)30823-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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