The Role of Serum Bilirubin Levels in Predicting Troponin Positivity in Non-ST-Segment Elevation Acute Coronary Syndrome
ANGIOLOGY, cilt.68, sa.5, ss.414-418, 2017 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 68 Sayı: 5
- Basım Tarihi: 2017
- Doi Numarası: 10.1177/0003319716659583
- Dergi Adı: ANGIOLOGY
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.414-418
- Anahtar Kelimeler: bilirubin, non-segment ST elevation acute coronary syndrome, troponin
- Dokuz Eylül Üniversitesi Adresli: Hayır
Özet
Data are scant regarding serum bilirubin levels in non-ST-segment elevation acute coronary syndrome (NSTE-ACS). In this study, we evaluated the role of serum bilirubin levels in NSTE-ACS. We enrolled 782 patients who presented to the emergency department with acute chest pain. Patients were divided into 2 groups based on the troponin positivity. Patients with NSTE-ACS who had troponin positivity were included in group 1 (n = 382), and group 2 consisted of the control patients (n = 400). Direct bilirubin (DB) levels (group 1: 0.31 +/- 0.37 mg/dL, group 2: 0.20 +/- 0.25 mg/dL, P < .001) and total bilirubin (TB) levels (group 1: 0.78 +/- 0.56 mg/dL, group 2: 0.62 +/- 0.45 mg/dL, P < .001) were significantly higher in group 1. There was a significant and moderate correlation between serum bilirubin levels and admission troponin values (r = .34, P < .001 for TB and r = .42, P < .001 for DB). These results show that serum bilirubin levels were associated with troponin positivity in patients with NSTE-ACS.