PMID- 24083422 OWN - NLM STAT- MEDLINE DCOM- 20140710 LR - 20131122 IS - 1366-5804 (Electronic) IS - 1354-750X (Linking) VI - 18 IP - 8 DP - 2013 Dec TI - Prognostic implications of changes in cardiac troponin I levels in patients with non-ST elevation acute coronary syndrome. PG - 668-72 LID - 10.3109/1354750X.2013.843023 [doi] AB - OBJECTIVE: Information is limited on the prognostic implications of cardiac troponin I (cTnI) changes during the first days of non-ST elevation acute coronary syndrome (NSTE-ACS). METHODS: High-sensitivity cTnI levels were measured at study inclusion and after 48 h in 1615 conservatively managed NSTE-ACS patients from the Global Use of Strategies To Open Occluded Coronary Arteries (GUSTO) IV trial. RESULTS: Patients with moderately increased cTnI levels and without a relevant decrease over time had a significantly raised mortality at 30 days and 1 year. No relevant associations between cTnI changes and recurrent myocardial infarction were seen. CONCLUSION: The cTnI change is predictive for subsequent mortality in selected conservatively managed NSTE-ACS patients. FAU - Eggers, Kai M AU - Eggers KM AD - Cardiology Unit, Department of Medical Sciences, Faculty of Medicine, Uppsala University , Uppsala , Sweden and. FAU - James, Stefan AU - James S FAU - Venge, Per AU - Venge P FAU - Lindahl, Bertil AU - Lindahl B LA - eng PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20131001 PL - England TA - Biomarkers JT - Biomarkers : biochemical indicators of exposure, response, and susceptibility to chemicals JID - 9606000 RN - 0 (Troponin I) SB - IM MH - Acute Coronary Syndrome/blood/*physiopathology MH - Aged MH - Female MH - Humans MH - Male MH - Middle Aged MH - Myocardium/*metabolism MH - Prognosis MH - Prospective Studies MH - Troponin I/*blood EDAT- 2013/10/03 06:00 MHDA- 2014/07/11 06:00 CRDT- 2013/10/03 06:00 PHST- 2013/10/03 06:00 [entrez] PHST- 2013/10/03 06:00 [pubmed] PHST- 2014/07/11 06:00 [medline] AID - 10.3109/1354750X.2013.843023 [doi] PST - ppublish SO - Biomarkers. 2013 Dec;18(8):668-72. doi: 10.3109/1354750X.2013.843023. Epub 2013 Oct 1.