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. 2023 Mar;53(3):436-438.
doi: 10.1111/imj.16027. Epub 2023 Mar 20.

Diabetes mellitus is an independent predictor of obstructive coronary artery disease in patients presenting with atrial fibrillation and elevated troponin

James K Fahey  1 , Hamish Prosser  1 , Prue Lescai  1 , Jithin K Sajeev  1 , Harrison Yao  1 , Louise Roberts  1 , Paul Buntine  1   2 , Andrew W Teh  1   3
Affiliations

Diabetes mellitus is an independent predictor of obstructive coronary artery disease in patients presenting with atrial fibrillation and elevated troponin

James K Fahey et al. Intern Med J. 2023 Mar.

Abstract

Atrial fibrillation can present with symptoms of myocardial infarction and elevated troponin, even in the absence of obstructive coronary artery disease (CAD). We sought to determine the characteristics that predict underlying obstructive CAD. Obstructive CAD was far more likely in those with troponin elevation. In those with elevated troponin, diabetes mellitus was an independent predictor of obstructive CAD.

Keywords: AF; atrial fibrillation; coronary artery disease; diabetes mellitus; troponin.

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References

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