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- Title
Low‐level elevations in high‐sensitivity cardiac troponin predict obstructive coronary artery disease and revascularisation in rural patients with non‐ST‐elevation myocardial infarction referred for coronary angiography.
- Authors
Lan, Nick S. R.; Goh, Angela; Dwivedi, Girish; Hillis, Graham S.; Rankin, James M.; Chew, Derek P.; Ihdayhid, Abdul Rahman
- Abstract
Rural patients with non‐ST‐elevation myocardial infarction (NSTEMI) are transferred to metropolitan hospitals for invasive coronary angiography (ICA). Yet, many do not have obstructive coronary artery disease (CAD). In this analysis of rural Western Australian patients transferred for ICA for NSTEMI, low‐level elevations in high‐sensitivity cardiac troponin (≤5× upper reference limit) were associated with less obstructive CAD and revascularisation. Along with other factors, this may help identify rural patients not requiring transfer for ICA.
- Subjects
TROPONIN; RISK assessment; RURAL health; NON-ST elevated myocardial infarction; AUSTRALIANS; HOSPITAL admission &; discharge; REVASCULARIZATION (Surgery); OPERATIVE surgery; METROPOLITAN areas; CORONARY artery disease; CORONARY angiography; SENSITIVITY &; specificity (Statistics); MEDICAL referrals; DISEASE risk factors
- Publication
Internal Medicine Journal, 2024, Vol 54, Issue 6, p1035
- ISSN
1444-0903
- Publication type
Article
- DOI
10.1111/imj.16412