To the Editor: Ohman et al. (Oct. 31 issue)1 discussed the usefulnessof measuring cardiac troponins in the assessment of prognosisand early stratification of risk in patients with acute coronarysyndromes. In the accompanying editorial, Van de Werf2 advancedthe hypothesis that elevated levels of cardiac troponins maybe associated with unstable coronary plaques.
We recently correlated troponin T levels with coronary angiographicfindings in 61 patients who presented to the emergency departmentwith chest pain.3 In each patient, troponin T levels were obtainedon presentation and coronary angiography was performed withinfour days. In reviewing the coronary arteriograms, . . . [Full Text of this Article]
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