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Low‐level elevations in high‐sensitivity cardiac troponin predict obstructive coronary artery disease and revascularisation in rural patients with non‐ST‐elevation myocardial infarction referred for coronary angiography

Rural patients with non‐ST‐elevation myocardial infarction (NSTEMI) are transferred to metropolitan hospitals for invasive coronary angiography (ICA). Yet, many do not have obstructive coronary artery disease (CAD). In this analysis… Click to show full abstract

Rural patients with non‐ST‐elevation myocardial infarction (NSTEMI) are transferred to metropolitan hospitals for invasive coronary angiography (ICA). Yet, many do not have obstructive coronary artery disease (CAD). In this analysis of rural Western Australian patients transferred for ICA for NSTEMI, low‐level elevations in high‐sensitivity cardiac troponin (≤5× upper reference limit) were associated with less obstructive CAD and revascularisation. Along with other factors, this may help identify rural patients not requiring transfer for ICA.

Keywords: elevation myocardial; patients non; non elevation; rural patients; myocardial infarction; coronary angiography

Journal Title: Internal Medicine Journal
Year Published: 2024

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