Evaluation of Cardiac Troponin Results in the Pediatric Emergency Department: A Single-Center Experience
Cardiac Troponin in the Pediatric Emergency
DOI:
https://doi.org/10.5281/zenodo.15569426Keywords:
Chest Pain, Pediatrics, Cardiac troponin, Creatine Kinase, C-Reactive ProteinAbstract
Objective: This study aimed to evaluate cardiac troponin levels in pediatric patients presenting with chest pain to the Emergency Department and to analyze their association with demographic and laboratory parameters.
Methods: This retrospective study included 1257 pediatric patients who presented with chest pain to the Emergency Department of Gaziantep City Hospital between 09.10.2023 and 04.10.2024. Data on age, sex, CK-MB, WBC, NEU, LYM, CRP, and troponin levels were analyzed. Patients with missing data were excluded. Statistical analysis was performed using SPSS 25. Depending on data distribution, Mann-Whitney U and Kruskal-Wallis tests were used (p<0.05 considered significant).
Results: Of the patients, 52.3% were female and 47.7% male. Troponin levels were within normal limits in 97% of cases, and elevated in 3%. Troponin levels were significantly higher in male patients (p<0.05). A statistically significant correlation was found between CK-MB and troponin levels (p<0.05). No significant correlation was found between troponin and inflammatory markers such as WBC, NEU, LYM, and CRP (p>0.05).
Conclusion: Troponin levels were found to be associated with sex and CK-MB, but not with inflammatory markers. These findings suggest that while troponin testing may help evaluate pediatric chest pain, clinical assessment and other laboratory findings must be considered to avoid unnecessary testing and ensure effective management.
References
Kocis KC. Chest pain in pediatrics. Pediatr Clin North Am. 1999;46(1):189-203.
Friedman KG, Alexander ME. Chest pain and syncope in children: a practical approach to the diagnosis of cardiac disease. J Pediatr. 2013;163(3):896-901.e9013. doi:10.1016/j.jpeds.2013.05.001
Driscoll DJ. Chest pain in children and adolescents. In: Allen HD, Driscoll DJ, Shaddy RE, Feltes TF, eds. Moss and Adams’ Heart Disease in Infants, Children, and Adolescents: Including the Fetus and Young Adult. 7th ed. Philadelphia: Lippincott Williams & Wilkins; 2008:1444-1446.
Akçınar H, Alp H, Alp E. Çocuk kardiyoloji kliniğine göğüs ağrısı nedeniyle başvuran çocukların etiyolojik değerlendirilmesi. J Pediatr Res. 2014;1(2):80-83.
Doğan M, Kalın T, Özer U, Öztürk MA. Çocuk acil servisine göğüs ağrısı nedeniyle başvuran hastaların değerlendirilmesi. MKÜ Tıp Dergisi. 2020;11(1):9-13.
Selbst SM, Ruddy RM, Clark BJ, Henretig FM, Santulli T Jr. Pediatric chest pain: a prospective study. Pediatrics. 1988;82(3):319-323.
Liesemer K, Casper TC, Korgenski K, Menon SC. Use and misuse of serum troponin assays in pediatric practice. Am J Cardiol. 2012;110(2):284-289. doi:10.1016/j.amjcard.2012.03.020
Aygun E, Aygun ST, Uysal T, Aygun F, Dursun H, Irdem A. Aetiological evaluation of chest pain in childhood and adolescence. Cardiol Young. 2020;30(5):617-623.
Massin MM, Bourguignont A, Coremans C, Comté L, Lepage P, Gérard P. Chest pain in pediatric patients presenting to an emergency department or to a cardiac clinic. Clin Pediatr (Phila). 2004;43(3):231-238. doi:10.1177/000992280404300304
Tunaoglu FS, Olgunturk R, Akcaboy S, et al. Chest pain in children: A prospective study. Pediatr Int. 2005;47(3):315-319.
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