Is having a moderate or low history, electrocardiogram, age, risk factors, troponin risk score a handicap for long-term mortality?

dc.authorid0000-0002-7675-0014
dc.contributor.authorSönmez, Ertan
dc.contributor.authorTaşlıdere, Bahadır
dc.contributor.authorDeniz, Mustafa Alper
dc.contributor.authorKahraman, Hande
dc.contributor.authorÖzkan, Abuzer
dc.contributor.authorGülen, Bedia
dc.date.accessioned2024-06-05T12:58:34Z
dc.date.available2024-06-05T12:58:34Z
dc.date.issued2024
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Acil Tıp Ana Bilim Dalı
dc.description.abstractOBJECTIVE: History, electrocardiogram, age, risk factors, troponin risk score and troponin level follow-up are used to safely discharge low-risk patients with suspected non-ST elevation acute coronary syndrome from the emergency department for a 1-month period. We aimed to comprehensively investigate the 6-month mortality of patients with the history, electrocardiogram, age, risk factors, troponin risk score. METHODS: A total of 949 non-ST elevation acute coronary syndrome patients admitted to the emergency department from 01.01.2019 to 01.10.2019 were included in this retrospective study. History, electrocardiogram, age, risk factors, troponin scores of all patients were calculated by two emergency clinicians and a cardiologist. We compared the 6-month mortality of the groups. RESULTS: The mean age of the patients was 67.9 (56.4–79) years; 57.3% were male and 42.7% were female. Six-month mortality was significantly lower in the high-risk history, electrocardiogram, age, risk factors, troponin score group than in the low- and moderate-risk groups: 11/80 (12.1%), 58/206 (22%), and 150/444 (25.3%), respectively (p=0.019). CONCLUSION: Patients with high history, electrocardiogram, age, risk factors, troponin risk scores are generally treated with coronary angioplasty as soon as possible. We found that the mortality rate of this group of patients was lower in the long term compared with others. Efforts are also needed to reduce the mortality of moderate and low-risk patients. Further studies are needed on the factors affecting the 6-month mortality of moderate and low-risk acute coronary syndrome patients.
dc.identifier.citationSönmez, E., Taşlıdere, B., Deniz, M. A., Kahraman, H., Özkan, A. ve Gülen, B. (2024). Is having a moderate or low history, electrocardiogram, age, risk factors, troponin risk score a handicap for long-term mortality?. Revista da Associacao Medica Brasileira, 70(4). http://dx.doi.org/10.1590/1806-9282.20230745
dc.identifier.doi10.1590/1806-9282.20230745
dc.identifier.issn0104-4230
dc.identifier.issn1806-9282
dc.identifier.issue4
dc.identifier.pmid38716931
dc.identifier.scopus2-s2.0-85192611948
dc.identifier.scopusqualityQ3
dc.identifier.urihttp://dx.doi.org/10.1590/1806-9282.20230745
dc.identifier.urihttps://hdl.handle.net/20.500.12511/12575
dc.identifier.volume70
dc.identifier.wos001223832000001en_US
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorGülen, Bedia
dc.language.isoen
dc.relation.ispartofRevista da Associacao Medica Brasileiraen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAcute Coronary Syndrome
dc.subjectHeart Disease
dc.titleIs having a moderate or low history, electrocardiogram, age, risk factors, troponin risk score a handicap for long-term mortality?
dc.typeArticle

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