From the search for the ultimate cardiac marker have emerged the cardiac
troponin, which have offered high
sensitivity and specificity for myocardial damage.
Troponin I had arguably been the best of this group, but even this marker is not infallible. We present the case of an
elderly women who died shortly after being diagnosed with acute
myocardial infarction on the basis of elevated
Troponin I.
Autopsy revealed a
small cell lung cancer complicated by
pulmonary thromboembolism. There was no evidence of myocaridal
infarction. Explanations for false elevation of
serum Troponin I are proposed.(Au)