High-Sensitivity Troponin-T and Cardiovascular Outcomes in the Community: Differences Between Women and Men.


Journal

Mayo Clinic proceedings
ISSN: 1942-5546
Titre abrégé: Mayo Clin Proc
Pays: England
ID NLM: 0405543

Informations de publication

Date de publication:
06 2020
Historique:
received: 13 12 2019
accepted: 14 01 2020
entrez: 6 6 2020
pubmed: 6 6 2020
medline: 2 10 2020
Statut: ppublish

Résumé

To evaluate associations of high-sensitivity cardiac troponin-T (cTnT) with cardiovascular disease (CVD), heart failure (HF), and mortality in community-dwelling women and men. A total of 8226 adults from the Prevention of Renal and Vascular End-stage Disease (PREVEND) cohort (1997-1998) were enrolled in a prospective observational study (mean age: 49 years; 50.2% women). Sex-specific associations of cTnT levels with future clinical outcomes were evaluated using adjusted Cox-regression models. Measurable cTnT levels (≥3 ng/L) were detected in 1102 women (26.7%) and in 2396 men (58.5%). Baseline cTnT levels were associated with a greater risk of developing CVD in women than men [Hazard ratio (HR Baseline cTnT levels were associated with future CVD, HF, and mortality in both sexes, and these associations were stronger in women. Future studies are needed to determine the value of cTnT in early diagnosis of CVD, particularly in women.

Identifiants

pubmed: 32498772
pii: S0025-6196(20)30054-9
doi: 10.1016/j.mayocp.2020.01.017
pii:
doi:

Substances chimiques

TNNT2 protein, human 0
Troponin T 0

Types de publication

Comparative Study Journal Article Observational Study Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1158-1168

Informations de copyright

Copyright © 2020 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc. All rights reserved.

Auteurs

Navin Suthahar (N)

University of Groningen, University Medical Center Groningen, Department of Cardiology, the Netherlands. Electronic address: n.suthahar@umcg.nl.

Laura M G Meems (LMG)

University of Groningen, University Medical Center Groningen, Department of Cardiology, the Netherlands.

Dirk J van Veldhuisen (DJ)

University of Groningen, University Medical Center Groningen, Department of Cardiology, the Netherlands.

Joan E Walter (JE)

Department of Cardiology, Cardiovascular Research Institute Basel, University Hospital Basel, Switzerland.

Ron T Gansevoort (RT)

University of Groningen, University Medical Center Groningen, Division of Nephrology, Department of Internal Medicine, the Netherlands.

Stephane Heymans (S)

Department of Cardiology, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Centre, the Netherlands.

Blanche Schroen (B)

Department of Cardiology, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Centre, the Netherlands.

Pim van der Harst (P)

University of Groningen, University Medical Center Groningen, Department of Cardiology, the Netherlands.

Jenny E Kootstra-Ros (JE)

University of Groningen, University Medical Center Groningen, Department of Laboratory Medicine, the Netherlands.

Vanessa van Empel (V)

Department of Cardiology, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Centre, the Netherlands.

Christian Mueller (C)

Department of Cardiology, Cardiovascular Research Institute Basel, University Hospital Basel, Switzerland.

Stephan J L Bakker (SJL)

University of Groningen, University Medical Center Groningen, Division of Nephrology, Department of Internal Medicine, the Netherlands.

Rudolf A de Boer (RA)

University of Groningen, University Medical Center Groningen, Department of Cardiology, the Netherlands.

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Classifications MeSH