Assessment of cardiac troponins status in patients on regular hemodialysis
Background and objectives: heart disease is a significant contributor to both fatalities and health issues among patients undergoing regular hemodialysis. Cardiac Troponins serve as sensitive indicators of heart muscle injury, playing a vital role in diagnosing acute coronary syndrome. The aim of th...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Kurdistan Higher Council Of Medical Specialties
2025-03-01
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| Series: | Advanced Medical Journal |
| Subjects: | |
| Online Access: | https://amj.khcms.edu.krd/index.php/main/article/view/587 |
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| Summary: | Background and objectives: heart disease is a significant contributor to both fatalities and health issues among patients undergoing regular hemodialysis. Cardiac Troponins serve as sensitive indicators of heart muscle injury, playing a vital role in diagnosing acute coronary syndrome. The aim of this study is to assess cardiac troponins status in an Iraqi cohort of asymptomatic Hemodialysis patients.
Methods: One-hundred-thirty-six asymptomatic hemodialysis patients who visited the hemodialysis center at the Hawler Teaching Hospital in Erbil, Iraq, between August 2022 and May 2023 participated in this cohort. Recorded were demographic and baseline characteristics. A battery of laboratory tests was conducted, including high sensitivity cardiac troponin T, cardiac troponin T, and I. Correlations were made between different variables
Result: The occurrence rates of increased cardiac troponin T, and I, and high sensitivity cardiac troponin T among asymptomatic hemodialysis patients were 25%, 7.4%, and 76.5%, respectively. Cardiac troponin T alone showed a significant positive correlation with the duration of dialysis treatment (p<0.05), while cardiac troponin I was significantly associated with dyslipidemia (P<0.05).
Conclusion: The majority of asymptomatic hemodialysis patients have elevated cardiac troponin levels, particularly high sensitivity cardiac troponin T. Both cardiac troponins were positively associated with prior history of coronary artery disease, and low serum albumin. Cardiac troponin T was positively correlated with dialysis vintage. |
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| ISSN: | 2958-8979 2957-3580 |