Elevation of troponin values in differential diagnosis of chest pain in view of pulmonary thromboembolism.
Vojnosanit Pregl
; 69(10): 913-6, 2012 Oct.
Article
em En
| MEDLINE
| ID: mdl-23155615
ABSTRACT
INTRODUCTION:
Acute coronary syndrome, as unstable form of ischaemic heart disease, beside clinical presentation and electrocardiographic abnormalities, is characterized by increased value of troponin one of cardiospecific enzimes. Although troponin is a high specific and sensitive indicator of acute coronary syndrome, any heart muscle injury may induce its increasing, so there are some other diseases with the increased troponin value. CASE REPORT We presented a female patient with chest pain, admitted because of suspicioun of acute coronary syndrome. Performed coronarography excluded ischemic heart disease. Considering symtomatology, electrocardiographic abnormalities, increased troponin and D-dimer values, as well as echocardiography finding we considered pulmonary embolism as a differential diagnosis, which was confirmed by pulmoangiography.CONCLUSION:
Isolated increased troponin values are not enough for diagnosis of acute coronary syndrome.
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Base de dados:
MEDLINE
Assunto principal:
Embolia Pulmonar
/
Troponina
Tipo de estudo:
Diagnostic_studies
Limite:
Female
/
Humans
/
Middle aged
Idioma:
En
Ano de publicação:
2012
Tipo de documento:
Article