BMC Research Notes | |
Cardiac troponin I elevation with supraventricular tachycardia: two case reports and review of the literature | |
Xiang-Jun Yang1  Xun Li1  Yong-Ming He1  Xu-Jie Cheng1  Bin Jiang1  Ting-Bo Jiang1  Feng Xue1  | |
[1] Department of Cardiology, First Affiliated Hospital of Soochow University, Suzhou 215006, China | |
关键词: Paroxysmal supraventricular tachycardia; Acute coronary syndromes; Cardiac troponin I; | |
Others : 1134310 DOI : 10.1186/1756-0500-7-136 |
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received in 2013-09-19, accepted in 2014-02-04, 发布年份 2014 | |
【 摘 要 】
Background
Although cardiac troponin I gives excellent accuracy in the identification of myocardial necrosis, it can also be elevated in a series of diseases other than acute coronary syndromes.
Case presentation
We present two cases of Chinese patients with a high serum troponin I level after an acute episode of paroxysmal supraventricular tachycardia with normal coronary arteries via angiography.
Conclusion
Abnormal troponin elevations can be seen in patients presenting with paroxysmal supraventricular tachycardia and angiographically-normal coronary arteries. Caution is advised with the use of invasive assessments such as coronary angiography in the differential diagnosis of patients with paroxysmal supraventricular tachycardia and elevated troponin levels.
【 授权许可】
2014 xue et al.; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
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20150305154947337.pdf | 1038KB | download | |
Figure 2. | 96KB | Image | download |
Figure 1. | 79KB | Image | download |
【 图 表 】
Figure 1.
Figure 2.
【 参考文献 】
- [1]Shave R, Baggish A, George K, Wood M, Scharhag J, Whyte G, Gaze D, Thompson PD: Exercise-induced cardiac troponin elevation: evidence, mechanisms, and implications. J Am Coll Cardiol 2010, 56:169-176.
- [2]Newby LK, Jesse RL, Babb JD, Christenson RH, De Fer TM, Diamond GA, Fesmire FM, Geraci SA, Gersh BJ, Larsen GC, Kaul S, McKay CR, Philippides GJ, Weintraub WS: ACCF 2012 expert consensus document on practical clinical considerations in the interpretation of troponin elevations: a report of the American College of Cardiology Foundation task force on Clinical Expert Consensus Documents. J Am Coll Cardiol 2012, 60:2427-2463.
- [3]Mahajan N, Mehta Y, Rose M, Shani J, Lichstein E: Elevated troponin level is not synonymous with myocardial infarction. Int J Cardiol 2006, 111:442-449.
- [4]Carlberg DJ, Tsuchitani S, Barlotta KS, Brady WJ: Serum troponin testing in patients with paroxysmal supraventricular tachycardia: outcome after ED care. Am J Emerg Med 2011, 29:545-548.
- [5]Zellweger MJ, Schaer BA, Cron TA, Pfisterer ME, Osswald S: Elevated troponin levels in absence of coronary artery disease after supraventricular tachycardia. Swiss Med Wkly 2003, 33:439-441.
- [6]Ben Yedder N, Roux JF, Paredes FA: Troponin elevation in supraventricular tachycardia: primary dependence on heart rate. Can J Cardiol 2011, 27:105-109.
- [7]Redfearn DP, Ratib K, Marshall HJ, Griffith MJ: Supraventricular tachycardia promotes release of troponin I in patients with normal coronary arteries. Int J Cardiol 2005, 102:521-522.
- [8]Chow GV, Hirsch GA, Spragg DD, Cai JX, Cheng A, Ziegelstein RC, Marine JE: Prognostic significance of cardiac troponin I levels in hospitalized patients presenting with supraventricular tachycardia. Medicine (Baltimore) 2010, 89:141-148.
- [9]Dorenkamp M, Zabel M, Sticheling C: Role of coronary angiography before radiofrequency ablation in patients presenting with paroxysmal supraventricular tachycardia. J Cardiovasc Pharmacol Ther 2007, 12:137-144.