STUDY OF MORTALITY PATTERNS IN YOUNG PATIENTS: UNCOVERING THE ORIGINS OF TROPONIN ELEVATION
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Keywords
troponin, young adults, Pakistan. End stage renal disease
Abstract
Purpose: Myocardial infarction is one clinical condition in which serum levels of troponin may increase. In older populations, these sources of troponin rise have been extensively investigated, whereas in younger populations, fewer studies have been conducted.
Methodology: From June 2021 to June 2023, a retrospective analysis was conducted on individuals younger than 65 years old who presented with elevated blood troponin levels at two large tertiary care facilities. Those with coronary artery disease were excluded from the study. Using electronic medical records, the rise in troponin's cause was determined. The Social Security Administration recorded all-cause mortality in its death master file.
Results: There were 693 (64.1%) myocardial infarctions among the 1081 individuals who satisfied the inclusion criteria, whereas 388 (35.9%) had increased troponin levels due to other medical problems. After 2.5 years, patients whose troponin levels increased for reasons other than myocardial infarction had a greater risk of all-cause death. Central nervous system diseases, non-ischemic cardiomyopathies, and end-stage renal illness all increased mortality. Acute myocardial infarction was related with a higher death rate than myocarditis.
Conclusion: Numerous demographic factors contribute to the rise in troponin levels among younger individuals. Acute myocardial infarction has a lower mortality rate than other conditions that increase troponin levels.
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Dr. Muhammad Shehbaz
Medical Officer at Ali Clinic and Maternity Home Depalpur, Pakistan
Dr. Syed Sibtain ul Hassan
Senior Registrar, Punjab institute of cardiology, Lahore Pakistan
Dr. Jehanzaib Motlani
Bone care trauma center, Pakistan
Dr Tahreem Lodhi
Hamdard University Hospital Karachi, Pakistan
Dr. Muhammad Zohaib Qasim
Medical Officer, Medical Ward, Civil Hospital, Bahawalpur. Pakistan
Dr. Muhammad Hamza Tahir
Medical Officer Govt Sadiq Abbasi Hospital Bahawalpur, Pakistan
Dr. Saira Tasawar
Pediatric Resident FCPS-II Bahawal Victoria Hospital Bahawalpur, Pakistan
Dr. Muhammad Adeel Zafar
PGR Cardiac Center Bahawal Victoria Hospital Bahawalpur, Pakistan
Dr Shahrukh Rehman
Medical Officer, BHU Roda Singh Bahawalnagr, Pakistan
Intsar Ali jatala
Medical Officer, RHC Shehar Fareed Bahawalnagr, Pakistan