TY - JOUR ID - TI - Correlation of Elevated Cardiac Troponin T Level with Severity and In‑Hospital Outcomes in Patients with Acute Ischemic Stroke AU - Salam Naser Zangana, Abdulkareem A. Al‑Othman, Azad Anwar Hamad PY - 2018 VL - 15 IS - 2 SP - 174 EP - 177 JO - Medical Journal of Babylon مجلة بابل الطبية SN - 1812156X 23126760 AB - Background: Although elevated cardiac troponin T (cTnT) is a specific marker of acute coronary syndrome, its increment in patients withacute ischemic stroke is not clear. The aim of this study is to identify the relationship between high cTnT levels and stroke severity as well asin‑hospital outcomes. Materials and Methods: This observational, cross‑sectional study was conducted on 100 patients with acute ischemicstroke in Rizgary teaching hospital from January 2016 to January 2017. Patients were divided into two groups: Group 1 patients (n = 61) withnormal cTnT level and Group 2 patients (n = 39) with elevated cTnT level. The relationships between cTnT levels and stroke severity as well asin‑hospital outcomes were assessed and compared between the two groups. Results: In this study, cTnT was raised in 39 patients (39%). Patientswith elevated cTnT levels were mainly males, had a significantly higher prevalence of hypertension and diabetes mellitus than the normal cTnTgroup (P < 0.001, for all). Systolic blood pressure and total cholesterol were significantly higher (P < 0.008 and < 0.001, respectively) in Group IIpatients than in Group I. In addition, Group II patients had more severe stroke and longer length of stay in hospital than in Group I patients, andthe differences were statistically significant (P < 0.001, for all). The incidence of aspiration pneumonia, seizures, hemorrhagic transformationof ischemic stroke, and death was significantly higher (P < 0.001, for all) in Group II patients than in Group I patients. Conclusion: Elevatedserum cTnT level at hospital admission is highly correlated with severity and poor in‑hospital outcomes in patients with acute ischemic stroke.

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