The Significance of Historical Troponin Elevation in Acute Heart Failure: Not as Reassuring as Previously Assumed.
Nicholas Eric HarrisonRobert Russell EhrmanPeter PangSarah ArmitageAiden AbidovDaniel PerkinsJohnathon PeacockNicholas MontelauroSushane GuptaMark J FavotPhillip D LevyPublished in: Academic emergency medicine : official journal of the Society for Academic Emergency Medicine (2023)
Historical cTn elevation in AHF patients is a harbinger of worse outcomes for patients who have not had a prior IHD work-up, and should prompt evaluation for underlying ischemia rather than reassurance for discharge. With known IHD history, historical cTn elevation was neither reassuring nor detrimental, failing to add incremental prognostic value to current cTn elevation alone.