Journal of Mazandaran University of Medical Sciences (Jan 2009)

Assessment of cardiac troponin I in patients with pulmonary emboli and its relationship with right ventricular dysfunction

  • Sasan Tavana,
  • Yunes Panahi,
  • Nasrollah Saed Moucheshi,
  • Fatemeh Beiraghdar,
  • Ebrahim Naderi3Department of Internal Medicine, Faculty of Medicine, Hamedan University of Medical Sciences, Hamedan, Iran,
  • Shahram Ala,
  • Rouhollah Habibey

Journal volume & issue
Vol. 19, no. 70
pp. 72 – 75

Abstract

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(Received 16 December, 2008; Accepted 27 May, 2009)AbstractBackground and purpose: Right ventricular dysfunction is common in major pulmonary embolisms. The purpose of this study was to evaluate the prevalence and diagnostic utility of cardiac troponin I and also to identify patients with RV dysfunction in pulmonary embolism.Materials and methods: This study was conducted on 42 patients with pulmonary embolism in Ekbatan Hospital, in Hamedan city. Data from history, echocardiogram, and lung perfusion scan was obtained from medical records. Blood samples were obtained immediately after pulmonary embolism was diagnosed. Cardiac troponin was measured using chromatographic assay.Results: Two patients (4.8%) had positive troponin I (≥0.5µg/l), and 40 patients (95.2%) had negative troponin I (0.05). Conclusion: Our data demonstrates that troponin I measurement is not able to distinguish specifically between coronary and non- coronary causes of chest pain.J Mazand Univ Med Sci 2009; 19(70): 72-75 (Persian)

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