Troponin T predicts mortality in patients with ischaemic stroke

Electrocardiographic changes, arrhythmias, and raised creatine kinase concentration have been noted in some patients after a stroke. In their study of 181 patients admitted to hospital with acute ischaemic stroke, James et al (p 1502) found that troponin T concentration at admission is a powerful predictor of mortality. A raised concentration was found in 17% of patients and was associated with a threefold increased risk of death. The authors recommend further study to investigate the cause of this cardiac damage and its contribution to mortality.


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Relevant Article

Relation between troponin T concentration and mortality in patients presenting with an acute stroke: observational study
P James, C J Ellis, R M L Whitlock, A R McNeil, J Henley, and N E Anderson
BMJ 2000 320: 1502-1504. [Abstract] [Full Text] [PDF]

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