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Correspondence
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Volume 347:1722-1723 November 21, 2002 Number 21
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Troponin T Levels and Acute Coronary Syndromes

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 by Aviles, R. J.
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To the Editor: In their article regarding the use of troponin T levels as prognostic factors in patients with renal dysfunction, Aviles et al. (June 27 issue)1 conclude that these levels predict short-term prognosis "regardless of [the patient's] level of creatinine clearance." This statement should be amended.

The current Kidney Disease Outcomes Quality Initiative defines chronic kidney disease by a glomerular filtration rate of less than 60 ml per minute — a definition that encompasses an estimated 7.6 million patients in the United States.2 An increasing proportion of these patients have a glomerular filtration rate of less than 30 ml . . . [Full Text of this Article]


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