This article requires a subscription to view the full text. If you have a subscription you may use the login form below to view the article. Access to this article can also be purchased.
Investigators from Boston Children’s Hospital (BCH), Boston, MA, conducted a retrospective study to assess the clinical utility of elevated troponin levels in identifying cardiac disease in children. For the study, they identified patients <21 years old who were seen at BCH between 2005 and 2018 and had at least one troponin level obtained. Children with history of a cardiac diagnosis were excluded. Study participants were categorized as having cardiac or noncardiac presentations based on ICD-9 or ICD-10 codes. Cardiac presentations included chest pain, tachycardia or other arrhythmia, syncope, cardiomegaly, or ventricular dysfunction. Noncardiac presentations were classified as respiratory, gastrointestinal, febrile, or other. An initial troponin level ≥0.1 ng/mL was considered elevated. The primary study outcome was a cardiac or …
Individual Login
Institutional Login
You may be able to gain access using your login credentials for your institution. Contact your librarian or administrator if you do not have a username and password.