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Research ArticleOriginal Article
Open Access

Troponin estimation identifies myocardial infarction patients with different characteristics

Mohammad Zubaid, Wafa A. Rashed, Marwan Abu Rezq, Bassam Abu Al-Banat, Mustafa Ridha, Bader A. Mohammad, Mohammad H. Al-Kandari, Ghassan Baidas, Rashed Al-Hamdan, Shaheed Zubair and Lukman Thalib
Saudi Medical Journal May 2006, 27 (5) 676-680;
Mohammad Zubaid
Department of Medicine, Faculty of Medicine, PO Box 24923, Safat 13110, Kuwait. Tel. +965 5319596. Fax. +965 5338907. E-mail: [email protected]
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  • For correspondence: [email protected]
Wafa A. Rashed
Department of Medicine, Mubarak Al-Kabeer Hospital, Ministry of Health
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Marwan Abu Rezq
Departments of Medicine, Al-Amiri Hospital, Ministry of Health, Kuwait.
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Bassam Abu Al-Banat
Departments of Medicine, Al-Amiri Hospital, Ministry of Health, Kuwait.
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Mustafa Ridha
Department of Medicine, Al-Adan Hospital, Ministry of Health
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Bader A. Mohammad
Department of Medicine, Al-Farwaniya Hospital, Ministry of Health, Kuwait.
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Mohammad H. Al-Kandari
Department of Medicine, Al-Farwaniya Hospital, Ministry of Health, Kuwait.
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Ghassan Baidas
Department of Medicine, Al-Sabah Hospital, Ministry of Health, Kuwait.
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Rashed Al-Hamdan
Department of Medicine (Al-Hamdan), Al-Jahra Hospital, Ministry of Health, Kuwait.
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Shaheed Zubair
Department of Medicine, Kuwait Oil Company Hospital, Kuwait.
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Lukman Thalib
Department of Community Medicine and Biostatistics, Faculty of Medicine, Kuwait University, Kuwait.
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Abstract

OBJECTIVE: To investigate the impact of new myocardial infarction definition based on troponin, the rate of myocardial infarction diagnosis, patients characteristics, and short-term prognosis.

METHODS: We enrolled 1,255 consecutive myocardial infarction patients from the Kuwait Registry of Acute Coronary Syndromes from December 2003 to May 2004. Two patient groups were identified, those diagnosed with elevated creatine kinase-MB (CK group) and those diagnosed with elevated troponin with normal CK-MB (Troponin group).

RESULTS: The use of troponin have increased the number of myocardial infarctions by 49%. Compared with the CK group, the Troponin group were older [age 60.3 ± 12.5 years versus 53.7 ± 12.2 years, p<0.001], more likely to have diabetes (59% versus 41%, p<0.001), hypertension (59% versus 36%, p<0.001), and hypercholesterolemia (37% versus 24%, p<0.001). The Troponin group were more likely to suffer heart failure at presentation than the CK group (32% versus 14%, p<0.001) and, subsequently, increase incidence of heart failure during their hospital stay (17% versus 8%, p<0.001).

CONCLUSION: A substantial increase in the rate of myocardial infarction occurred with the adoption of the new diagnostic criteria. The clinical outcome for the additional patients diagnosed was not better than that of patients diagnosed by the old criteria.

  • Copyright: © Saudi Medical Journal

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Saudi Medical Journal: 27 (5)
Saudi Medical Journal
Vol. 27, Issue 5
1 May 2006
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Troponin estimation identifies myocardial infarction patients with different characteristics
Mohammad Zubaid, Wafa A. Rashed, Marwan Abu Rezq, Bassam Abu Al-Banat, Mustafa Ridha, Bader A. Mohammad, Mohammad H. Al-Kandari, Ghassan Baidas, Rashed Al-Hamdan, Shaheed Zubair, Lukman Thalib
Saudi Medical Journal May 2006, 27 (5) 676-680;

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Troponin estimation identifies myocardial infarction patients with different characteristics
Mohammad Zubaid, Wafa A. Rashed, Marwan Abu Rezq, Bassam Abu Al-Banat, Mustafa Ridha, Bader A. Mohammad, Mohammad H. Al-Kandari, Ghassan Baidas, Rashed Al-Hamdan, Shaheed Zubair, Lukman Thalib
Saudi Medical Journal May 2006, 27 (5) 676-680;
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© 2023 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

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