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I have read this priceless retrospective multi centric study with great enthusiasm and I congratulate the authors Kaura A, et al (1). To the best of my knowledge - in a Radiologist capacity - this is one of the best presented, well written and comprehensive studies about the association of troponin level and age with mortality in a large patient cohort.
I feel this piece should be regarded as a reliable reference and a kind of holy piece in the field, and I am sure this paper will trigger further multi-centric prospective studies.
The study rightly emphasises the significance of the relation between raised troponin and mortality re - even slightly raised troponin biomarker levels should alert the physician but is that enough ? No... The study also states rightly, “clinical decisions should depend on the underlying disease and not simply on the degree of increase in troponin biomarker”
I would strongly recommend this eye opening piece to all medical doctors, trainees and other specialty doctors. Very much influential.
1. Kaura A, Panoulas V, Glamoson B, et al. Association of troponin level and age with mortality in 250000 patients: cohort study across five UK acute care centres. BMJ 2019;367:I6055.