Value of the initial troponin T level in the diagnosis of acute myocardial infarction - a probability model / (Record no. 4730)

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fixed length control field 01751nam a22001817a 4500
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control field DOH
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control field 20210519105344.0
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245 00 - TITLE STATEMENT
Title Value of the initial troponin T level in the diagnosis of acute myocardial infarction - a probability model /
Statement of responsibility, etc. Roberto V. Anastacio , Saturnino P. Javier
520 3# - SUMMARY, ETC.
Summary, etc. Troponin T is increasingly being recognized as a reliable marker of myocardial necrosis in myocardial infarction (MI). To assess the value of a single initial troponin T level in the diagnosis of acute MI, we prospectively analyzed the initial values obtained in 71 patients (47 males and 26 females, mean age 58 years) admitted for possible acute MI. Fourteen patients (19%) satisfied the WHO criteria for acute MI. In those with a final diagnosis of acute MI, 10 (71%) patients had initial elevation (1.7 +/- 2.2 ug/ml) while 4 (29%) had levels below the normal cut-ff value of 0-0.1 ug/ml. By analysis of maximum likelihood estimates based on these initial values, we constructed a probability model to predict the likelihood of the diagnosis of acute MI. Using this model, an initial level of 0.4 ug/ml has a 25% chance of diagnosing acute MI However, an initial value of 0.8 ug/ml (twice) has a 50% probability. Furthermore, a value of 1.0 ug/ml has close to 75% likelihood of correctly diagnosing acute MI. In conclusion, the magnitude of the initial rise in the level of troponin T correlates strongly with the likelihood of diagnosing acute MI.
580 ## - LINKING ENTRY COMPLEXITY NOTE
Linking entry complexity note <br/><br/>Makati Medical Center Proceedings, 1999 (13) pages 28-34
650 #2 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Myocardial Infarction
650 #2 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Troponin
700 1# - ADDED ENTRY--PERSONAL NAME
Personal name Anastacio, Roberto V.
700 1# - ADDED ENTRY--PERSONAL NAME
Personal name Javier, Saturnino P.
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
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    National Library of Medicine     DOH Central Library DOH Central Library Electronic Resource Section 05/19/2021   J000653 D0001J000653 05/19/2021 05/19/2021 Journal Article