Evidence map›Paper›PMID 35606046›Full record

Observational studyOpen heart2022

Peak troponin T in STEMI: a predictor of all-cause mortality and left ventricular function.

Natasha Khullar, Anthony James Buckley, Cormac O'Connor, Abdalla Ibrahim, Alsamawal Ibrahim, Catriona Ahern, Ciara Cahill, Samer Arnous, Thomas John Kiernan

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Open heart, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Natasha KhullarDepartment of Cardiology, University Hospital Limerick, Dooradoyle, Ireland natasha.akhullar@gmail.com.ORCID 0000-0003-0949-7095
Anthony James BuckleyDepartment of Cardiology, University Hospital Limerick, Dooradoyle, Ireland.
Cormac O'ConnorDepartment of Cardiology, University Hospital Limerick, Dooradoyle, Ireland.
Abdalla IbrahimDepartment of Cardiology, University Hospital Limerick, Dooradoyle, Ireland.ORCID 0000-0002-6842-1720
Alsamawal IbrahimDepartment of Cardiology, University Hospital Limerick, Dooradoyle, Ireland.
Catriona AhernDepartment of Cardiology, University Hospital Limerick, Dooradoyle, Ireland.
Ciara CahillDepartment of Cardiology, University Hospital Limerick, Dooradoyle, Ireland.
Samer ArnousDepartment of Cardiology, University Hospital Limerick, Dooradoyle, Ireland.
Thomas John KiernanDepartment of Cardiology, University Hospital Limerick, Dooradoyle, Ireland.
University Hospital Limerick · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe clinical significance of peak troponin levels following ST-elevation myocardial infarction (STEMI) has not been definitively established. The purpose of this study was to examine the relationship between peak high-sensitivity cardiac troponin T (hs-cTnT) and all-cause mortality at 30 days and 1 year, and left ventricular ejection fraction (LVEF) in STEMI.

methodsA single-centre retrospective observational study was conducted of all patients with STEMI between January 2015 and December 2017. Demographics and clinical data were obtained through electronic patient records. Standard Bayesian statistics were employed for analysis.

resultsDuring the study period, 568 patients presented with STEMI. The mean age was 63.6±12 years and 76.4% were men. Of these, 535 (94.2%) underwent primary percutaneous coronary intervention, 12 (2.1%) underwent urgent coronary artery bypass and 21 (3.7%) were treated medically. Mean peak hs-cTnT levels were significantly higher in those who died within 30 days compared with those who survived (12 238 ng/L vs 4657 ng/L, respectively; p=0.004). Peak hs-cTnT levels were also significantly higher in those who died within 1 year compared with those who survived (10 319 ng/L vs 4622 ng/L, respectively; p=0.003). The left anterior descending artery was associated with the highest hs-cTnT and was the most common culprit in those who died at 1 year. An inverse relationship was demonstrated between peak hs-cTnT and LVEF (Pearson's R=0.379; p<0.00001).

conclusionsIn STEMI, those who died at 30 days and 1 year had significantly higher peak troponin levels than those who survived. Peak troponin is also inversely proportional to LVEF with higher troponins associated with lower LVEF.

Indexed as

ST Elevation Myocardial InfarctionAgedBayes TheoremBiomarkersFemaleHumansMaleMiddle AgedPrognosisStroke VolumeTroponinTroponin TVentricular Function, LeftBiomarkersTroponinTroponin TBiomarkersPRIMARY PCISTEMI

Identifiers

PMID35606046
PMCPMC9174820
OpenAlexW4281398367

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.