Elevation of troponin values in differential diagnosis of chest pain in view of pulmonary thromboembolism

Vojnosanitetski Pregled

关键词: coronary disease;    diagnosis, differential;    pulmonary embolism;    chest pain;    troponin I;   

DOI  :  10.2298/VSP1210913V

来源: DOAJ

【 摘 要 】

Introduction. Acute coronary syndrome, as unstable form of ischaemic heartdisease, beside clinical presentation and electrocardiographic abnormalities,is characterized by increased value of troponin one of cardiospecificenzimes. Although troponin is a high specific and sensitive indicator ofacute coronary syndrome, any heart muscle injury may induce its increasing,so there are some other diseases with the increased troponin value. Casereport. We presented a female patient with chest pain, admitted because ofsuspicioun of acute coronary sindrome. Performed coronarography excludedischemic heart disease. Considering symtomatology, electrocardiographicabnormalities, increased troponin and D-dimer values, as well asechocardiography finding we considered pulmonary embolism as a differentialdiagnosis, which was confirmed by pulmoangiography. Conclusion. Isolatedincreased troponin values are not enough for diagnosis of acute coronarysyndrome.

【 授权许可】

Unknown