POVEĆANA VREDNOST KARDIJALNOG TROPONINA I U HIPERTROFIČNOJ KARDIOMIOPATIJI I DIJASTOLNOJ SRČANOJ SLABOSTI

S. Lazic ,
S. Lazic
D. Rasic ,
D. Rasic
B. Lazic ,
B. Lazic
Z. Marcetic ,
Z. Marcetic
V. Peric ,
V. Peric
M. Sipic ,
M. Sipic
S. Pajovic
S. Pajovic

Published: 01.12.2013.

Volume 43, Issue 1 (2014)

pp. 37-42;

https://doi.org/10.5937/pramed1401037l

Abstract

U radu je prikazana žena stara 73 godine koja je hospitalizovana u jedinicu Intenzivne nege zbog osećaja nedostatka vazduha i atpičnog diskomfora u grudima unazad dva sata. Krvni pritisak na prijemu je bio veoma povišen (240/130 mmHg), kardijalni troponin i iznad referentnih vrednosti (2,1 ng/ml) a inicijalni EKG zapis bio je sugestibilan za infarkt miokarda bez ST elevacije. Ehokardiografska evaluacija i koronarna arteriografija koje su usledile isključile su akutni koronarni sindrom kao uzrok povećanog kardijalnog troponina.

Keywords

References

1.
Apple F, Parvin C, Buechler K, Christenson R, Wu A, Jaffe A. Validation of the 99th percentile cutoff independent of assay imprecision(CV) for cardiac troponin monitoring for ruling out myocardial infarction. Clin Chem. 2005;2198–200.
2.
Mingels A, Jacobs L, Kleijnen V, Laufer E, Winkens B, Hofstra L, et al. Cardiac troponin elevations, using highly sensitive assay, in recreational running depend on running distance. Clin Res Cardiol. 2010;385–91.
3.
Ng S, Krishnaswamy P, Morrisey R, Clopton P, Fitzgerald R, Maised A. Mitigation of the clinical significance of spurious elevations of cardiac troponin I in settings of coronary ischaemia using serial testing of multiple cardiac markers. Am J Cardiol. 2001;994–9.
4.
Missov E, Calzolari C, Pan B. Circulating cardiac troponin I in severe congestive heart failure. Circulation. 1997;2953–8.
5.
Peacock W, I, Teresa De M, Marco M, Gregg C Fonarow M, Direcks D. Cardiac Troponin and Outcome in Acute Heart Failure. N Engl Med. 2008;2117–26.

Citation

Copyright

Article metrics

Google scholar: See link

The statements, opinions and data contained in the journal are solely those of the individual authors and contributors and not of the publisher and the editor(s). We stay neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Most read articles

Indexed by