Outcomes of Hospitalized Patients with Non-Acute Coronary Syndrome and Elevated Cardiac Troponin Level Edward O. McFalls, MD, PhD, Greg Larsen, MD, Gary.

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Outcomes of Hospitalized Patients with Non-Acute Coronary Syndrome and Elevated Cardiac Troponin Level Edward O. McFalls, MD, PhD, Greg Larsen, MD, Gary R. Johnson, MS, Fred S. Apple, PhD, Steven Goldman, MD, Andrew Arai, MD, Brahmajee K. Nallamothu, MD, MPH, Robert Jesse, MD, PhD, Scott T. Holmstrom, BA, Patricia L. Sinnott, PT, PhD The American Journal of Medicine Volume 124, Issue 7, Pages 630-635 (July 2011) DOI: 10.1016/j.amjmed.2011.02.024 Copyright © 2011 Terms and Conditions

Figure 1 The study cohort was obtained from all patients admitted to VA Medical Centers in 2006 who had a troponin assay obtained during the reference hospitalization. Those patients with a low expectation of long-term survival, based on prolonged hospitalization or transfer to hospice care, were censored from additional analyses. A comparative analysis of the long-term outcomes was determined according to the diagnosis of an acute coronary syndrome or a non-acute coronary syndrome condition in those patients with an elevated troponin level who were discharged from the hospital. The American Journal of Medicine 2011 124, 630-635DOI: (10.1016/j.amjmed.2011.02.024) Copyright © 2011 Terms and Conditions

Figure 2 The in-hospital and 1-year post-hospital discharge mortality rates were determined for the 100,433 hospitalized patients who had a troponin level drawn during hospitalization in 2006. Outcomes are displayed according to the ICD-9 diagnosis of an acute coronary syndrome (ACS) or non-acute coronary syndrome condition and whether the troponin level was negative or positive, based on the upper reference limit of the specific assay. cTn, Cardiac troponin. The American Journal of Medicine 2011 124, 630-635DOI: (10.1016/j.amjmed.2011.02.024) Copyright © 2011 Terms and Conditions

Figure 3 The primary diagnoses based on the ICD-9 codes are shown for all 13,923 hospitalized patients with an elevated troponin level and a non-acute coronary syndrome condition. The most common discharge diagnosis involved the cardiovascular system. The American Journal of Medicine 2011 124, 630-635DOI: (10.1016/j.amjmed.2011.02.024) Copyright © 2011 Terms and Conditions