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Published on: May 26, 2023
Myocardial injury in critically ill children: a case control study
Basheir Hassan1, Saed Morsy1, Ahmed Siam1
1Pediatrics Department, Faculty of Medicine, Zagazig University, Zagazig 44519, Egypt.
Critically ill children show elevated cardiac troponin T levels, indicating myocardial injury. These levels correlate with disease severity and poorer outcomes, highlighting their prognostic value.
Area of Science:
- Pediatric Critical Care Medicine
- Cardiology
- Biomarkers
Background:
- Myocardial injury is a concern in critically ill children.
- Cardiac troponin T is a sensitive marker for cardiac damage.
Purpose of the Study:
- To assess cardiac troponin T levels in critically ill children.
- To correlate these levels with disease severity and myocardial dysfunction.
Main Methods:
- Case-control study of 50 critically ill children and 25 healthy controls.
- Echocardiography and cardiac troponin T measurements.
- Assessment of Pediatric Index of Mortality II score.
Main Results:
- Elevated cardiac troponin T in critically ill children compared to healthy controls.
- Cardiac troponin T levels correlated with ventilation duration and disease severity.
- Higher cardiac troponin T levels observed in non-survivors.
Conclusions:
- Cardiac troponin T is elevated in critically ill children.
- Elevated levels are associated with disease severity and ventilation duration.
- Cardiac troponin T may serve as a prognostic indicator in pediatric critical illness.
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