Clinical findings in patients with cardiac troponin T elevation and end-stage renal disease without acute coronary syndrome.

Clinical, echocardiographic, and carotid ultrasound parameters were compared according to the level of cardiac tropopin T (cTnT) (cTnT < 0.04 vs greater than or equal to 0.04 mug/L; cTnT < 0.1 vs greater than or equal to 0.1 mug/L) in patients with end-stage renal disease without acute coronary syndrome. Left atrial size, left ventricular mass index, the ratio of transmitral early left ventricular filling velocity to early diastolic Doppler tissue imaging velocity of the mitral annulus, and the prevalence of left ventricular dysfunction and diabetes mellitus were higher in the groups with cTnT greater than or equal to 0.04 and greater than or equal to 0.1 mug/L. Diabetes was an independent correlate of cTnT elevation of greater than or equal to 0.04 and greater than or equal to 0.1 mug/L. Left ventricular mass index and left atrial size were independent predictors of cTnT elevations of greater than or equal to 0.04 and greater than or equal to 0.1 mug/L, respectively. (C) 2004 by Excerpta Medica, Inc.