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Objective : It has been suggested that elevated cardiac troponin T (cTnT) level is a marker of increased risk of mortality in acute ischemic stroke

and subarachnoid hemorrhage (SAH). However, the association of serum cTnT level and prognosis of intracerebral hemorrhage (ICH) has been

sparsely investigated. The aim of this study was to identify the relationship between cTnT level and the outcome in patients with spontaneous

ICH.

Methods : We retrospectively investigated 253 patients identified by a database search from records of patients admitted in our department for

ICH between January 1, 2003 and December 31, 2007. The patients were divided into 2 groups; the patients in group 1 (n=225) with serum cTnT

values of 0.01 ng/mL or less, and those in group 2 (n=28) with serum cTnT values greater than 0.01 ng/mL.

Results : The serum cTnT level was elevated in 28 patients. There were significant differences in sex, hypertension, creatine kinase-myocardial

band, midline shift, side of hematoma, and presence of intraventricular hemorrhage between the 2 groups. Logistic regression analysis identified

the level of consciousness on admission, cTnT and midline shift as independent predictors of hospital mortality.

Conclusion : Theses results suggest that increased serum cTnT level at admission is associated with in-hospital mortality and the addition of a

serum cTnT assay to routine admission testing should be considered in patients with ICH.

권호기사

권호기사 목록 테이블로 기사명, 저자명, 페이지, 원문, 기사목차 순으로 되어있습니다.
기사명 저자명 페이지 원문 목차
Language lateralization in patients with temporal lobee pilepsy : a comparison between volumetric analysis and the Wada test Young-Min Oh ; Eun-Jeong Koh pp.329-335

Prognostic factors of hemifacial spasm after microvascular decompression Hong Rae Kim ; Deok-Joo Rhee ; Doo-Sik Kong ; Kwan Park pp.336-340

Predictors of 30-day mortality and 90-day functional recovery after primary intracerebral hemorrhage : hospital based multivariate analysis in 585 patients Kyu-Hong Kim pp.341-349

The clinical outcomes of 75 consecutive patients with cervical carotid artery stenosis treated by carotid artery stenting Joonho Chung ; Yong Sam Shin ; Yong Cheol Lim ; Sang Kyu Park pp.350-354

Initial troponin level as a predictor of prognosis in patients with intracerebral hemorrhage Pil-Wook Chung ; Yu Sam Won ; Young Joon Kwon ; Chun Sik Choi ; Byung Moon Kim pp.355-359

Multimodal therapy for patients with acute ischemic stroke : outcomes and related prognostic factors Seung Young Jeong ; Seung Soo Park ; Eun-Jeong Koh ; Jong Pil Eun ; Ha Young Choi pp.360-368

Clinical outcomes after percutaneous vertebroplasty for pathologic compression fractures in osteolytic metastatic spinal disease Bong-Suk Lim ; Ung-Kyu Chang ; Sang-Min Youn pp.369-374

Intra-suprasellar schwannoma originating from the diaphragma sellae Hyun-Woong Park ; Shin Jung ; Tae-Young Jung ; Kyung-Sub Moon pp.375-377

Extreme multi-level percutaneous vertebroplasty for newly developed multiple adjacent compression fractures Han Woong Kim ; Jae Wook Song ; Austin Kwon ; In Hwan Kim pp.378-380

Intracranial metastases of cervical intramedullary low-grade astrocytoma without malignant transformation in adult Se Youn Jang ; Min Ho Kong ; Kwan Young Song ; John G. Frazee pp.381-385

Nonaneurysmal subarachnoid hemorrhage : rare complication of vertebroplasty Jae Bum Lim ; Joung Soo Park ; Ealmaan Kim pp.386-389

Acute spinal subdural hematoma presenting with spontaneously resolving hemiplegia Seung-Hun Oh ; In-Bo Han ; Young-Ho Koo ; Ok-Joon Kim pp.390-393

Multiple fusiform cerebral aneurysms and highly elevated serum interleukin-6 in cardiac myxoma Young-Ho Koo ; Tae-Gon Kim ; Ok-Joon Kim ; Seung-Hun Oh pp.394-396

Bilateral chronic subdural hematoma contaminated with klebsiella pneumoniae : an unusual case Bulent Bakar ; Cem Sungur ; Ismail Hakki Tekkok pp.397-400

Recurrent cerebral arteriovenous malformation in a child : case report and review of the literature Yong-Sook Park ; Jeong-Taik Kwon pp.401-404

참고문헌 (32건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
1 Cardiac troponin I. A marker with high specificity for cardiac injury. 네이버 미소장
2 Surgical Outcome of Spontaneous Intracerebral Hemorrhage in Less than Stuporous Mental Status 소장
3 Troponin as a risk factor for mortality in critically ill patients without acute coronary syndromes 네이버 미소장
4 Elevated troponin levels are associated with sympathoadrenal activation in acute ischaemic stroke. 네이버 미소장
5 Broderick JP, Brott TG, Duldner JE, Tomsick T, Huster G : Volume of intracerebral heamorrhage. A powerful and easy-to-use predictor of 30-day mortality. Stroke 24 : 987-993, 1993 미소장
6 Intracerebral haemorrhage 네이버 미소장
7 The effect of oral propranolol upon the ECG changes occurring in subarachnoid haemorrhage. 네이버 미소장
8 Clinical significance of elevated troponin I levels in patients with nontraumatic subarachnoid hemorrhage. 네이버 미소장
9 Di Angelantonio E, Fiorelli M, Toni D, Sacchetti ML, Lorenzano S, Falcou A, et al : Prognostic significance of admission levels of troponin I in patients with acute ischaemic stroke. J Neurol Neurosurg Psychiartry 76 : 76-81, 2005 미소장
10 Cardiac Involvement in Patients With Acute Neurologic Disease 네이버 미소장
11 A clinicopathological study of patients following a subarachnoid hemorrhage. 네이버 미소장
12 Cardiac troponins and N-terminal pro-brain natriuretic peptide in acute ischemic stroke do not relate to clinical prognosis. 네이버 미소장
13 Adrenal medullary and adrenal cortical response to stimulation of diencephalon. 네이버 미소장
14 Cardiac troponin elevations in patients without acute coronary syndrome. 네이버 미소장
15 Elevated troponin levels are associated with higher mortality following intracerebral hemorrhage. 네이버 미소장
16 The use of cardiac troponin-I (cTnI) to determine the incidence of myocardial ischemia and injury in patients with aneurysmal and presumed aneurysmal subarachnoid hemorrhage. 네이버 미소장
17 James P, Ellis CJ, Whitlock RM, McNeil AR, Henley J, Anderson NE : Relation between troponin T concentration and mortality in patients presenting with an acute stroke : observational study. BMJ 320 : 1502-1504, 2000 미소장
18 Significance of cardiac troponin T release after percutaneous transluminal coronary angioplasty 네이버 미소장
19 King DA, Codish S, Novack V, Barski L, Almog Y : The role of cardiac troponin I as a prognosticator in critically ill medical patients : a prospective observational cohort study. Crit Care 9 : R390-R395, 2005 미소장
20 Cardiotoxic effects of electrical stimulation of the stellate ganglia. 네이버 미소장
21 Kono T, Morita H, Kuroiwa T, Onaka H, Takatsuka H, Fujiwara A : Left ventricular wall motion abnormalities in patients with subarachnoid hemorrhage : neurogenic stunned myocardium. J Am Coll Cardiol 24 : 636-640, 1994 미소장
22 Clinical Importance of Cardiac Troponin Release and Cardiac Abnormalities in Patients With Supratentorial Cerebral Hemorrhages 네이버 미소장
23 Subarachnoid hemorrhage and the heart. 네이버 미소장
24 Prognostic value of Pulsatility Index in acute intracerebral hemorrhage. 네이버 미소장
25 Cardiac ischemic changes and arrhythmias induced by hypothalamic stimulation 네이버 미소장
26 Mesulam MM, Mufson EJ : Insula of the old world monkey. III : Efferent cortical output and comments on function. J Comp Neurol 212 : 38-52, 1982 미소장
27 Cardiovascular effects of human insular cortex stimulation. 네이버 미소장
28 Cardiac troponin I predicts myocardial dysfunction in aneurysmal subarachnoid hemorrhage 네이버 미소장
29 Cardiac troponin T isoform expression correlates with pathophysiological descriptors in patients who underwent corrective surgery for congenital heart disease. 네이버 미소장
30 Subarachnoid Hemorrhage and Myocardial Damage Clinical and Experimental Studies. 네이버 미소장
31 Predictors of neurocardiogenic injury after subarachnoid hemorrhage. 네이버 미소장
32 Autonomic responses and efferent pathways from the insular cortex in the rat. 네이버 미소장