J Korean Neurosurg Soc.  2009 Jun;45(6):355-359. 10.3340/jkns.2009.45.6.355.

Initial Troponin Level as a Predictor of Prognosis in Patients with Intracerebral Hemorrhage

• Chung PW
• Won YS
• Kwon YJ
• Choi CS
• Kim BM

• KMID: 2138426
• DOI: http://doi.org/10.3340/jkns.2009.45.6.355

Abstract

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.

Keyword

Cardiac troponin T; Intracerebral hemorrhage; Outcome

MeSH Terms

Cerebral Hemorrhage
Consciousness
Creatine
Diagnostic Tests, Routine
Hematoma
Hemorrhage
Hospital Mortality
Humans
Hypertension
Logistic Models
Prognosis
Retrospective Studies
Stroke
Subarachnoid Hemorrhage
Troponin
Troponin T
Creatine
Troponin
Troponin T