Elevation of troponin values in differential diagnosis of chest pain in view of pulmonary thromboembolism
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...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2012-01-01
|
| Series: | Vojnosanitetski Pregled |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2012/0042-84501210913V.pdf |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850241909120827392 |
|---|---|
| author | Vučić Rada Knežević Slavko Lazić Zorica Andrejić Olivera Dinčić Dragan Irić-Čupić Violeta Zdravković Vladimir |
| author_facet | Vučić Rada Knežević Slavko Lazić Zorica Andrejić Olivera Dinčić Dragan Irić-Čupić Violeta Zdravković Vladimir |
| author_sort | Vučić Rada |
| collection | DOAJ |
| description | 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 sindrome. 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. |
| format | Article |
| id | doaj-art-b6c1da2ce08b4547a44cdf2740d77fb2 |
| institution | OA Journals |
| issn | 0042-8450 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-b6c1da2ce08b4547a44cdf2740d77fb22025-08-20T02:00:28ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502012-01-01691091391610.2298/VSP1210913VElevation of troponin values in differential diagnosis of chest pain in view of pulmonary thromboembolismVučić RadaKnežević SlavkoLazić ZoricaAndrejić OliveraDinčić DraganIrić-Čupić VioletaZdravković VladimirIntroduction. 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 sindrome. 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.http://www.doiserbia.nb.rs/img/doi/0042-8450/2012/0042-84501210913V.pdfcoronary diseasediagnosis, differentialpulmonary embolismchest paintroponin I |
| spellingShingle | Vučić Rada Knežević Slavko Lazić Zorica Andrejić Olivera Dinčić Dragan Irić-Čupić Violeta Zdravković Vladimir Elevation of troponin values in differential diagnosis of chest pain in view of pulmonary thromboembolism Vojnosanitetski Pregled coronary disease diagnosis, differential pulmonary embolism chest pain troponin I |
| title | Elevation of troponin values in differential diagnosis of chest pain in view of pulmonary thromboembolism |
| title_full | Elevation of troponin values in differential diagnosis of chest pain in view of pulmonary thromboembolism |
| title_fullStr | Elevation of troponin values in differential diagnosis of chest pain in view of pulmonary thromboembolism |
| title_full_unstemmed | Elevation of troponin values in differential diagnosis of chest pain in view of pulmonary thromboembolism |
| title_short | Elevation of troponin values in differential diagnosis of chest pain in view of pulmonary thromboembolism |
| title_sort | elevation of troponin values in differential diagnosis of chest pain in view of pulmonary thromboembolism |
| topic | coronary disease diagnosis, differential pulmonary embolism chest pain troponin I |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2012/0042-84501210913V.pdf |
| work_keys_str_mv | AT vucicrada elevationoftroponinvaluesindifferentialdiagnosisofchestpaininviewofpulmonarythromboembolism AT knezevicslavko elevationoftroponinvaluesindifferentialdiagnosisofchestpaininviewofpulmonarythromboembolism AT laziczorica elevationoftroponinvaluesindifferentialdiagnosisofchestpaininviewofpulmonarythromboembolism AT andrejicolivera elevationoftroponinvaluesindifferentialdiagnosisofchestpaininviewofpulmonarythromboembolism AT dincicdragan elevationoftroponinvaluesindifferentialdiagnosisofchestpaininviewofpulmonarythromboembolism AT iriccupicvioleta elevationoftroponinvaluesindifferentialdiagnosisofchestpaininviewofpulmonarythromboembolism AT zdravkovicvladimir elevationoftroponinvaluesindifferentialdiagnosisofchestpaininviewofpulmonarythromboembolism |