• Internal medicine journal · Jun 2024

    Low-level elevations in high-sensitivity cardiac troponin predict obstructive coronary artery disease and revascularisation in rural patients with non-ST-elevation myocardial infarction referred for coronary angiography.

    • Nick S R Lan, Angela Goh, Girish Dwivedi, Graham S Hillis, James M Rankin, Derek P Chew, and Abdul Rahman Ihdayhid.
    • Department of Cardiology, Fiona Stanley Hospital, Perth, Western Australia, Australia.
    • Intern Med J. 2024 Jun 1; 54 (6): 103510391035-1039.

    AbstractRural patients with non-ST-elevation myocardial infarction (NSTEMI) are transferred to metropolitan hospitals for invasive coronary angiography (ICA). Yet, many do not have obstructive coronary artery disease (CAD). In this analysis of rural Western Australian patients transferred for ICA for NSTEMI, low-level elevations in high-sensitivity cardiac troponin (≤5× upper reference limit) were associated with less obstructive CAD and revascularisation. Along with other factors, this may help identify rural patients not requiring transfer for ICA.© 2024 The Authors. Internal Medicine Journal published by John Wiley & Sons Australia, Ltd on behalf of Royal Australasian College of Physicians.

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