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The investigators hypothesized that the CRP/troponin ratio measured in patients presenting to the ED with elevated troponin levels could differentiate between patients with cardiac ischemia and those who present due to a systemic inflammatory or infectious disease. The aim of the study was to determine the necessary CRP/troponin ratio required to rule out cardiac ischemia in a large ED population and determine its impact on long-term prognosis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Troponin-positive ED patients | All patients admitted to the ED at the Hillel Yaffe Medical Center in Hadera, Israel, in the period 2016-2019 with cTn level higher than the 99th percentile of cTn concentration in the normal population (>0.014 nanogram/milliliter). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Diagnosis of Myocardial Ischemia | Diagnostic Test | Discharge diagnosis of myocardial ischemia |
|
| Measure | Description | Time Frame |
|---|---|---|
| Accuracy of the CRP/Troponin ratio | The accuracy of the CRP/Troponin ratio in ruling out of myocardial ischemia according to the diagnosis of ischemia/coronary intervention at discharge analyzed by standard statistical measures | Within 6 months |
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Inclusion Criteria:
Exclusion Criteria:
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All patients admitted to the ED at the Hillel Yaffe Medical Center, Hadera, during the period 2016-2019 with cTn level higher than the 99th percentile of cTn concentration in the normal population (>0.014 nanogram/milliliter).
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Simcha R Meisel, MD, MSC | Contact | 972-52-3260931 | meisel.simcha@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hille Yaffe Medical Center | Hadera | 38100 | Israel |
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| ID | Term |
|---|---|
| D017202 | Myocardial Ischemia |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D014652 | Vascular Diseases |
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