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000140772 0247_ $$2doi$$a10.1111/ene.13920
000140772 0247_ $$2pmid$$apmid:30706590
000140772 0247_ $$2ISSN$$a1351-5101
000140772 0247_ $$2ISSN$$a1468-1331
000140772 0247_ $$2ISSN$$a1471-0552
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000140772 037__ $$aDZNE-2020-07094
000140772 041__ $$aEnglish
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000140772 1001_ $$0P:(DE-HGF)0$$aErdur, H.$$b0$$eCorresponding author
000140772 245__ $$aMyocardial injury in transient global amnesia: a case-control study.
000140772 260__ $$aOxford$$bBlackwell Science78889$$c2019
000140772 264_1 $$2Crossref$$3online$$bWiley$$c2019-02-21
000140772 264_1 $$2Crossref$$3print$$bWiley$$c2019-07-01
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000140772 520__ $$aElevation of cardiac troponin (cTn), a sensitive biomarker of myocardial injury, is frequently observed in severe acute neurological disorders. Case reports suggest that cardiac dysfunction may also occur in patients with transient global amnesia (TGA). Until now, no study has systematically assessed this phenomenon.We performed a case-control study using data of consecutive patients presenting with TGA from 2010 to 2015. Multiple logistic regression analysis accounting for age, sex and cardiovascular risk factors was performed to compare the likelihood of myocardial injury [defined as elevation of cTn > 99th percentile (≥14 ng/L); highly sensitive cardiac troponin T assay] in TGA with three reference groups: migraine with aura, vestibular neuritis and transient ischaemic attack (TIA).Cardiac troponin elevation occurred in 28 (25%) of 113 patients with TGA. Patients with TGA with cTn elevation were significantly older, more likely to be female and had higher blood pressure on admission compared with those without. The likelihood of myocardial injury following TGA was at least more than twofold higher compared with all three reference groups [adjusted odds ratio, 5.5; 95% confidence interval (CI), 1.2-26.4, compared with migraine with aura; adjusted odds ratio, 2.2; 95% CI, 1.2-4.4, compared with vestibular neuritis; adjusted odds ratio, 2.3; 95% CI, 1.3-4.2, compared with TIA].One out of four patients with TGA had evidence of myocardial injury as assessed by highly sensitive cTn assays. The likelihood of myocardial injury associated with TGA was even higher than in TIA patients with a more pronounced cardiovascular risk profile. Our findings suggest the presence of a TGA-related disturbance of brain-heart interaction that deserves further investigation.
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000140772 650_2 $$2MeSH$$aAged
000140772 650_2 $$2MeSH$$aAged, 80 and over
000140772 650_2 $$2MeSH$$aAmnesia, Transient Global: blood
000140772 650_2 $$2MeSH$$aAmnesia, Transient Global: complications
000140772 650_2 $$2MeSH$$aCase-Control Studies
000140772 650_2 $$2MeSH$$aFemale
000140772 650_2 $$2MeSH$$aHeart Diseases: blood
000140772 650_2 $$2MeSH$$aHeart Diseases: complications
000140772 650_2 $$2MeSH$$aHumans
000140772 650_2 $$2MeSH$$aIschemic Attack, Transient: blood
000140772 650_2 $$2MeSH$$aIschemic Attack, Transient: complications
000140772 650_2 $$2MeSH$$aMale
000140772 650_2 $$2MeSH$$aMiddle Aged
000140772 650_2 $$2MeSH$$aMigraine Disorders: blood
000140772 650_2 $$2MeSH$$aMigraine Disorders: complications
000140772 650_2 $$2MeSH$$aRisk Factors
000140772 650_2 $$2MeSH$$aTroponin T: blood
000140772 7001_ $$aSiegerink, B.$$b1
000140772 7001_ $$aGaneshan, R.$$b2
000140772 7001_ $$aAudebert, H. J.$$b3
000140772 7001_ $$0P:(DE-2719)2811033$$aEndres, M.$$b4$$udzne
000140772 7001_ $$0P:(DE-2719)9000234$$aNolte, C. H.$$b5$$udzne
000140772 7001_ $$aScheitz, J. F.$$b6
000140772 77318 $$2Crossref$$3journal-article$$a10.1111/ene.13920$$b : Wiley, 2019-02-21$$n7$$p986-991$$tEuropean Journal of Neurology$$v26$$x1351-5101$$y2019
000140772 773__ $$0PERI:(DE-600)2020241-6$$a10.1111/ene.13920$$gVol. 26, no. 7, p. 986 - 991$$n7$$p986-991$$q26:7<986 - 991$$tEuropean journal of neurology$$v26$$x1351-5101$$y2019
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