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@article{1609616,
author = {Griva, Martin and Stastny, Jiri and Kopriva, Petr and Slabak, Martin and Coufal, Zdenek and Jarkovský, Jiří and Svoboda, Michal and Salek, Tomas and Sukupova, Lucie and Taborsky, Milos},
article_location = {Olomouc},
article_number = {4},
doi = {http://dx.doi.org/10.5507/bp.2018.066},
keywords = {coronary angiography; percutaneous coronary intervention; high-sensitivity troponin; periprocedural myocardial injury},
language = {eng},
issn = {1213-8118},
journal = {Biomedical Papers},
title = {Selective coronary angiography, percutaneous coronary intervention and asymptomatic peri-procedural myocardial injury},
url = {http://dx.doi.org/10.5507/bp.2018.066},
volume = {163},
year = {2019}
}
TY - JOUR
ID - 1609616
AU - Griva, Martin - Stastny, Jiri - Kopriva, Petr - Slabak, Martin - Coufal, Zdenek - Jarkovský, Jiří - Svoboda, Michal - Salek, Tomas - Sukupova, Lucie - Taborsky, Milos
PY - 2019
TI - Selective coronary angiography, percutaneous coronary intervention and asymptomatic peri-procedural myocardial injury
JF - Biomedical Papers
VL - 163
IS - 4
SP - 324-330
EP - 324-330
PB - Palacky University
SN - 12138118
KW - coronary angiography
KW - percutaneous coronary intervention
KW - high-sensitivity troponin
KW - periprocedural myocardial injury
UR - http://dx.doi.org/10.5507/bp.2018.066
L2 - http://dx.doi.org/10.5507/bp.2018.066
N2 - Background. While there have been a number of studies reporting the incidence and implications of elevated troponin levels after percutaneous coronary intervention (PCI), the body of information about the incidence, associations, and implications of elevated troponin levels following coronary angiography (CAG) is limited. Materials and Methods. A total of 220 consecutive patients with stable coronary artery disease or intermediate or low-risk acute coronary syndrome without persistent ST-segment elevation (NSTE-ACS) were included in our study. High-sensitivity cardiac troponin I (hs-cTnI) levels were measured before and after coronary angiography (CAG) in patients with or without PCI and correlated with a number of clinical variables. Results. Hs-cTnl elevations above the 99th percentile upper reference limit (URL), or above 20% of the initially positive, yet already declining values, were found in 60 (37.2%) patients after CAG and in 45 (76.2%) patients undergoing PCI. Significant correlations of hs-cTnI elevation were found with the following variables: volume of contrast, fluoroscopy time, dose-area product, amount of contrast agent injected directly into the coronary arteries, total time of balloon dilation and the number and total length of implanted stents (P<0.001 for all). Conclusion. While an asymptomatic elevation of hs-cTnl is a common finding after PCI, it does occur, quite surprisingly, also after CAG. Despite contradictory views regarding the clinical relevance of asymptomatic post-procedural elevated hs-cTnl levels, it is generally believed that a mild elevation is not associated with an increased risk. Still, it may pose a diagnostic quandary following a successful interventional procedure and even more so after an uncomplicated CAG.
ER -
GRIVA, Martin, Jiri STASTNY, Petr KOPRIVA, Martin SLABAK, Zdenek COUFAL, Jiří JARKOVSKÝ, Michal SVOBODA, Tomas SALEK, Lucie SUKUPOVA and Milos TABORSKY. Selective coronary angiography, percutaneous coronary intervention and asymptomatic peri-procedural myocardial injury. \textit{Biomedical Papers}. Olomouc: Palacky University, 2019, vol.~163, No~4, p.~324-330. ISSN~1213-8118. Available from: https://dx.doi.org/10.5507/bp.2018.066.
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