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, Abdul Rahman Ihdayhid

Research output: Contribution to journalArticlepeer-review

Abstract

Rural 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.

Original languageEnglish
Pages (from-to)1035-1039
Number of pages5
JournalInternal Medicine Journal
Volume54
Issue number6
Early online date29 May 2024
DOIs
Publication statusPublished - Jun 2024

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