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Conceptual Model for Clinical Distribution of Elevated Troponin
ACS = acute coronary syndrome; AMI = acute myocardial infarction; CAD = coronary artery disease; CHF = congestive heart failure; CM = cardiomyopathy; CT = cardiothoracic; PCI = percutaneous coronary intervention; PE = pulmonary embolism; STEMI = ST-segment elevation myocardial infarction.
Troponin Positivity and the Universal Definition of MI. Classification of MI Type
ACS = acute coronary syndromes; AMI = acute myocardial infarction; BP = blood pressure; CABG = coronary artery bypass grafting; CAD = coronary artery disease; CT = cardiothoracic; MI = myocardial infarction; PCI = percutaneous coronary intervention; SCD = sudden cardiac death; STEMI = ST-segment elevation myocardial infarction.Destaco lo mas importante. La verdad estos expertos complican todo.
Proposed Algorithm for Troponin in Therapeutic Decision Making
Global risk should be estimated via formal clinical risk scores (TIMI, GRACE, or PURSUIT) or a combination of the following high-risk features: recurrent angina/ischemia at rest or low-level activity, heart failure or worsening mitral regurgitation, high-risk stress test, hemodynamic instability, sustained ventricular tachycardia, diabetes mellitus, PCI within 6 months, prior CABG or LV ejection fraction <0.40. ACS = acute coronary syndromes; CABG = coronary artery bypass grafting; ECG = electrocardiogram; LV = left ventricular; PCI = percutaneous coronary intervention.
Referencia:Newby LK, Jesse RL, Babb JD, Christenson RH, De Fer TM, Diamond GA, et al. ACCF 2012 Expert Consensus Document on Practical Clinical Considerations in the Interpretation of Troponin Elevations. Journal of the American College of Cardiology. 2012. Texto completo