• Brit J Hosp Med · May 2020

    Review

    Troponin in critical care patients and outcomes.

    • Elizabeth M Cole and Annemarie B Docherty.
    • Department of Anaesthesia, NHS Lothian, Edinburgh, UK.
    • Brit J Hosp Med. 2020 May 2; 81 (5): 1-8.

    AbstractMyocardial infarction is common in the critically unwell population with pre-existing cardiovascular disease and is associated with a greater overall mortality. This article explores guidelines for diagnosing myocardial infarction, and research into the use of troponin as both a diagnostic and prognostic tool. Currently, the majority of patients in the intensive care unit with acute myocardial infarction go unrecognised. The underlying cause is predominantly oxygen supply-demand imbalance, therefore identifying those at risk is important as there is the potential to modify elements of their care and reduce their overall mortality.

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