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- Title
The Role of Serum Bilirubin Levels in Predicting Troponin Positivity in Non-ST-Segment Elevation Acute Coronary Syndrome.
- Authors
Ozturk, Mustafa; Askın, Lutfu; Ipek, Emrah; Demirelli, Selami; Turan, Oguzhan Ekrem; Yıldırım, Erkan; Ermis, Emrah; Kalkan, Kamuran; Delice, Orhan
- Abstract
Data are scant regarding serum bilirubin levels in non-ST-segment elevation acute coronary syndrome (NSTE-ACS). In this study, we evaluated the role of serum bilirubin levels in NSTE-ACS. We enrolled 782 patients who presented to the emergency department with acute chest pain. Patients were divided into 2 groups based on the troponin positivity. Patients with NSTE-ACS who had troponin positivity were included in group 1 (n = 382), and group 2 consisted of the control patients (n = 400). Direct bilirubin (DB) levels (group 1: 0.31 ± 0.37 mg/dL, group 2: 0.20 ± 0.25 mg/dL, P < .001) and total bilirubin (TB) levels (group 1: 0.78 ± 0.56 mg/dL, group 2: 0.62 ± 0.45 mg/dL, P < .001) were significantly higher in group 1. There was a significant and moderate correlation between serum bilirubin levels and admission troponin values (r = .34, P < .001 for TB and r = .42, P < .001 for DB). These results show that serum bilirubin levels were associated with troponin positivity in patients with NSTE-ACS.
- Subjects
CHEST pain diagnosis; DIAGNOSIS; CORONARY disease; DIAGNOSIS of diabetes; HYPERTENSION; CARDIOVASCULAR disease diagnosis; ACUTE coronary syndrome; ASPARTATE aminotransferase; BILIRUBIN; BLOOD pressure; BLOOD pressure measurement; CHI-squared test; CONFIDENCE intervals; CREATINE kinase; ELECTROCARDIOGRAPHY; EMERGENCY medicine; HEMOPROTEINS; HOSPITAL admission &; discharge; HYPERLIPIDEMIA; ISOENZYMES; LIVER function tests; PATIENTS; SMOKING; T-test (Statistics); OXIDATIVE stress; ALANINE aminotransferase; CONTROL groups; PATIENT selection; RECEIVER operating characteristic curves; ACUTE diseases; EARLY diagnosis; DATA analysis software; TROPONIN; DESCRIPTIVE statistics; ODDS ratio; MANN Whitney U Test
- Publication
Angiology, 2017, Vol 68, Issue 5, p414
- ISSN
0003-3197
- Publication type
Article
- DOI
10.1177/0003319716659583