Thorac Cardiovasc Surg
DOI: 10.1055/a-2489-6222
Short Communications

Correlation between Left Ventricular Mass and Cardiac Troponin T in Cardiac Surgery

1   Department of Cardiothoracic Surgery, Carmel Medical Center Cardiovascular Center, Haifa, Israel
,
Ayelet R. Touitou
1   Department of Cardiothoracic Surgery, Carmel Medical Center Cardiovascular Center, Haifa, Israel
,
Salim Adawi
2   Department of Cardiology, Carmel Medical Center Cardiovascular Center, Haifa, Israel
,
Erez Sharoni
1   Department of Cardiothoracic Surgery, Carmel Medical Center Cardiovascular Center, Haifa, Israel
› Author Affiliations

Abstract

Cardiac troponin levels might rise significantly after cardiac surgeries as a surgical outcome rather than ischemic myocardial damage alone, making the diagnosis of postoperative (type 5) myocardial infarction challenging. Previous studies have demonstrated that cardiac troponin is related to left ventricular mass, but this correlation was not investigated after cardiac surgery. We aimed to study a possible correlation between postoperative cardiac troponin levels and left ventricular mass index in patients who underwent cardiac surgery to refine the diagnosis of type 5 myocardial infarction, but observed no such correlation regardless of preoperative troponin levels or surgery type.

Supplementary Material



Publication History

Received: 22 July 2024

Accepted: 25 November 2024

Article published online:
09 January 2025

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  • References

  • 1 Lurati Buse GA, Koller MT, Grapow M, Bolliger D, Seeberger M, Filipovic M. The prognostic value of troponin release after adult cardiac surgery—a meta-analysis. Eur J Cardio-Thoracic Surg 2010; 37 (02) 399-406
  • 2 Thygesen K, Alpert JS, Jaffe AS. et al; ESC Scientific Document Group. Fourth universal definition of myocardial infarction (2018). Eur Heart J 2019; 40 (03) 237-269
  • 3 Mallamaci F, Zoccali C, Parlongo S. et al; Cardiovascular Risk Extended Evaluation in Dialysis Investigators. Diagnostic value of troponin T for alterations in left ventricular mass and function in dialysis patients. Kidney Int 2002; 62 (05) 1884-1890
  • 4 Cramer G, Bakker J, Gommans F. et al. Relation of highly sensitive cardiac troponin T in hypertrophic cardiomyopathy to left ventricular mass and cardiovascular risk. Am J Cardiol 2014; 113 (07) 1240-1245
  • 5 Payne JE, Ghadban R, Loethen T. et al. Impact of left ventricular hypertrophy on peak serum troponin T levels in patients with acute myocardial infarction. Am J Cardiol 2019; 123 (11) 1745-1750