Evidence mapPaperPMID 41555243Full record

ArticleBMC cardiovascular disorders2026

Cardiac troponin and subclinical cardiovascular dysfunction in metabolic syndrome: a retrospective analysis based on two diagnostic definitions.

Grzegorz K Jakubiak, Natalia Pawlas, Monika Starzak, Agata Stanek, Grzegorz Cieślar

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Article in BMC cardiovascular disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

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0cells of the map it votes in
6citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Grzegorz K JakubiakDepartment of Pharmacology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Jordana 38 St., Zabrze, 41-808, Poland. grzegorz.k.jakubiak@gmail.com.
Natalia PawlasDepartment of Pharmacology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Jordana 38 St., Zabrze, 41-808, Poland.
Monika StarzakDepartment of Internal Medicine, Angiology and Physical Medicine, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Batorego 15 St., Bytom, 41-902, Poland.
Agata StanekDepartment of Internal Medicine, Metabolic Diseases and Angiology, Faculty of Health Sciences in Katowice, Medical University of Silesia in Katowice, Ziolowa 45/47 St., Katowice, 40-635, Poland.
Grzegorz CieślarDepartment of Internal Medicine, Angiology and Physical Medicine, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Batorego 15 St., Bytom, 41-902, Poland.

Funding

Medical University of Silesia in Katowice BNW-1-041/N/5/K
6 · The paper itself

Abstract

backgroundSerum high-sensitivity cardiac troponin T concentration (hs-cTnT) belongs to key markers of myocardial damage. Its role in screening for subclinical cardiovascular (CV) dysfunction remains unclear. Metabolic syndrome (MetS) is a constellation of coexisting disorders that lead to increased CV risk. There are various criteria for diagnosing MetS.

objectiveThe purpose of this study was to analyze the correlation between hs-cTnT and selected parameters of subclinical CV dysfunction in individuals with and without MetS, taking into account the influence of the adopted MetS definition on these relationships. PATIENTS AND

methodsThe study consisted of a retrospective analysis of data from 113 patients (mean age 60.14 ± 16.44; 61.95% females) without symptoms of acute illness. Echocardiography, Doppler ultrasound of the carotid arteries and lower extremities arteries, central blood pressure, and pulse wave velocity (PWV) measurement, as well as ankle-brachial index (ABI) and toe-brachial index (TBI) measurements, were used to assess features of CV dysfunction. The criteria included in the 2009 consensus of scientific societies and those proposed by Polish experts in 2022 were independently applied to diagnose MetS and the results were analyzed.

resultsIndividuals with MetS were characterized by significantly more severe subclinical CV dysfunction, and the differences were more pronounced when using the 2022 definition of Polish experts. hs-cTnT significantly correlates with parameters of CV dysfunction (left ventricle diastolic dysfunction, vascular stiffness, and subclinical atherosclerosis) in patients with and without MetS. Interaction analysis and multivariate analysis did not find any significant differences between individuals with and without MetS in the correlation between hs-cTnT and the analyzed CV dysfunction parameters.

conclusionSome significant correlations were found between hs-cTnT and selected CV dysfunction parameters in patients with MetS. However, hs-cTnT did not consistently demonstrate superior diagnostic utility for detecting subclinical CV damage in individuals with MetS compared to those without MetS.

Indexed as

Cardiovascular DiseasesMetabolic SyndromeTroponin TAdultAgedAnkle Brachial IndexAsymptomatic DiseasesBiomarkersEchocardiography, DopplerFemaleHumansMaleMiddle AgedPredictive Value of TestsPulse Wave AnalysisRetrospective StudiesBiomarkersTroponin TAnkle-brachial indexIntima-media thicknessMetabolic syndromeObesityPulse wave velocityTroponin

Identifiers

PMID41555243
PMCPMC12896248

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.