A non-ischaemic cause of elevated troponin

A non-ischaemic cause of elevated troponin

A 27-year-old woman with chest pain was admitted for elevated troponin levels. Troponin remained mildly elevated upon repeat testing, and a review of the medical record revealed that she had had an elevated troponin level in the past. She had a cardiac catheterisation that revealed angiographically...

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Veröffentlicht in:BMJ case reports 2014-04, Vol.2014, p.bcr2014203729
Hauptverfasser: Lefort, Guy, D'Antonio, Claude, Caffery, Terrell
Format: Artikel
Sprache:eng
Schlagworte:
Acute coronary syndromes
Adult
Angina pectoris
Anxiety
Black
Cardiology
Cardiovascular disease
Chest Pain - blood
Chest Pain - diagnosis
Coronary Angiography
Coronary Vessels
Family medical history
Female
Gangrene
Heart attacks
Hospitals
Humans
Immunoglobulins
Learning from Errors
Myocardial Ischemia - blood
Myocardial Ischemia - diagnosis
Pain
Proteins
Substance abuse treatment
Troponin - blood
USA/Canada
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Beschreibung
Zusammenfassung:A 27-year-old woman with chest pain was admitted for elevated troponin levels. Troponin remained mildly elevated upon repeat testing, and a review of the medical record revealed that she had had an elevated troponin level in the past. She had a cardiac catheterisation that revealed angiographically normal coronary arteries. Repeat troponin testing with and without ethylene glycol revealed a negative troponin level after addition of ethylene glycol, suggesting antibodies were interfering with the assay.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2014-203729