scholarly journals Anginal pain and elevated troponin level despite normal coronary angiography: hypertrophic cardiomyopathy with severe obstruction due to vasodilator/diuretic therapy for coincident arterial hypertension

2018 ◽  
Vol 14 (1) ◽  
pp. 109-111
Author(s):  
Adam Gębka ◽  
Renata Rajtar-Salwa ◽  
Rafał Hładij ◽  
Paweł Petkow Dimitrow
Keyword(s):  
Hypertrophic Cardiomyopathy ◽  
Coronary Angiography ◽  
Arterial Hypertension ◽  
Diuretic Therapy ◽  
Troponin Level ◽  
Elevated Troponin ◽  
Anginal Pain ◽  
Normal Coronary Angiography

Elevated Troponin Levels after Prolonged Supraventricular Tachycardia in Patient with Normal Coronary Angiography

Cardiology ◽  
2006 ◽  
Vol 106 (1) ◽  
pp. 10-13 ◽  
Author(s):  
Rafael C. Miranda ◽  
Maurício N. Machado ◽  
Isabela T. Takakura ◽  
Paula F. da Mata ◽  
Carlos Guilherme B. da Fonseca ◽  
...  
Keyword(s):  
Coronary Angiography ◽  
Supraventricular Tachycardia ◽  
Elevated Troponin ◽  
Normal Coronary Angiography

scholarly journals Causes of Elevated Troponin in Patients with Normal Coronary Angiography

2019 ◽  
Vol 14 (7-8) ◽  
pp. 159-166
Author(s):  
Ana Reschner Planinc ◽  
Maja Strozzi ◽  
Zoran Miovski ◽  
Kristina Marić Bešić ◽  
Joško Bulum
Keyword(s):  
Coronary Angiography ◽  
Elevated Troponin ◽  
Normal Coronary Angiography

scholarly journals Apical Hypertrophic Cardiomyopathy and Myocardial Infarction in a Young Adult, a Rare Combination

2013 ◽  
Vol 14 (1) ◽  
pp. 74-76
Author(s):  
Gautam Datta ◽  
Dipankar Mukherjee ◽  
DM Bhubanmajhi ◽  
Rupesh Singh ◽  
Sudhir Bhattacharya
Keyword(s):  
Hypertrophic Cardiomyopathy ◽  
Cardiac Troponin ◽  
Troponin T ◽  
Cardiac Troponin T ◽  
Apical Hypertrophic Cardiomyopathy ◽  
Anginal Pain ◽  
Normal Coronary Angiography ◽  
Low Hdl ◽  
Traditional Risk Factors ◽  
Artery Disease

A teenage boy of 19 years without traditional risk factors for coronary artery disease, presented with typical anginal pain with ST-T changes in anterior leads and elevated cardiac troponin T. Investigation revealed the patient havingapical hypertrophic cardiomyopathy with normal coronary angiography and a spade shaped apex on LV angiography. With a diagnosis of microvascular infraction, further investigations revealed elevated LP (a), serum homocysteineand low HDL probably playing a contributory role.DOI: http://dx.doi.org/10.3329/jom.v14i1.14557 J MEDICINE 2013; 14 : 74-76

Determination of health anxiety, anxiety, and somatosensory amplification levels in individuals with normal coronary angiography

2017 ◽  
Vol 252 ◽  
pp. 114-117 ◽  
Author(s):  
Hasan Korkmaz ◽  
Sevda Korkmaz ◽  
Sevler Yildiz ◽  
Burcu Gündoğan ◽  
Murad Atmaca
Keyword(s):  
Coronary Angiography ◽  
Health Anxiety ◽  
Somatosensory Amplification ◽  
Normal Coronary Angiography

scholarly journals Increased C-reactive protein concentrations in patients admitted to the emergency department with troponin level elevations decreases the probability of myocardial ischemia

2021 ◽  
Vol 10 (Supplement_1) ◽  
Author(s):  
SR Meisel ◽  
OM Kobo ◽  
M Kleisener Shochat ◽  
M Saada ◽  
N Amsalem ◽  
...  
Keyword(s):  
Emergency Department ◽  
Myocardial Ischemia ◽  
Cardiac Injury ◽  
Medical Problem ◽  
Troponin Level ◽  
Elevated Troponin ◽  
Reactive Protein ◽  
Funding Sources ◽  
Cardiology Department ◽  
Inflammatory State

Abstract Funding Acknowledgements Type of funding sources: None. Background Patients frequently present to the emergency department (ED) with chest pain, dyspnea, or other symptoms with elevated troponin level. This finding prompts a provisional diagnosis of myocardial ischemia and raises the need to exclude this possibility. However, elevated blood troponin may be the result of a systemic inflammatory or infectious state merely representing cardiac injury and not myocardial ischemia. Purpose We hypothesized that the ratio of CRP/troponin could reflect the extent of the systemic inflammatory state that induces an attendant cardiac injury, which if sufficiently high could exclude myocardial ischemia. Methods Study population included 10774 patients admitted to the ED during the years 2016-2019 with cTn level higher > 14 ng/liter. CRP level was measured in all patients and CRP/troponin ratio was assessed against discharge diagnosis of myocardial ischemia, in order to evaluate its ability to exclude ischemic etiology of symptoms. The incidence of myocardial ischemia among study patients decreased with increasing CRP/troponin value. Results The prevalence of myocardial ischemia was 760/2694 patients (28.2%), 415/2694 (15.4%), 294/2695 (10.9%) and 130/2694 (4.8%) with 1st-4th CRP/troponin quartile, respectively (p < 0.0001). Logistic regression has shown that the probability of myocardial ischemia decreased by 53%, 68%, and 87% in the second to fourth CRP/troponin quartile compared with the first quartile, respectively (p < 0.0001). Conclusion The present study has shown that increased CRP level seems to modulate the specificity of simultaneous troponin as a marker of ischemia. As CRP level increases, so increases the likelihood that concomitant elevated troponin is due to myocardial injury and not due to myocardial ischemia. The clinical implication is that in the presence of a high CRP/troponin ratio, admission to the cardiology department and coronary investigation are unnecessary, whereas appropriate investigation of the actual medical problem is warranted.

scholarly journals ELEVATED TROPONIN LEVEL IS NOT SYNONYMOUS WITH MYOCARDIAL INFARCTION

CHEST Journal ◽  
2005 ◽  
Vol 128 (4) ◽  
pp. 166S ◽  
Author(s):  
Nitin Mahajan ◽  
Yatin Mehta ◽  
Malcolm Rose ◽  
Jacob Shani ◽  
Edgar Lichstein
Keyword(s):  
Myocardial Infarction ◽  
Troponin Level ◽  
Elevated Troponin

Tc-99m Myocardial Perfusion SPECT Findings of Angina Patients Showing Normal Coronary Angiography

1998 ◽  
Vol 28 (3) ◽  
pp. 366
Author(s):  
Hee Seung Bom ◽  
Jung-Jun Min ◽  
Hwan-Jeong Jeong ◽  
Ho-Cheon Song ◽  
Ji-Yeul Kim ◽  
...  
Keyword(s):  
Coronary Angiography ◽  
Myocardial Perfusion ◽  
Myocardial Perfusion Spect ◽  
Normal Coronary Angiography ◽  
Perfusion Spect

scholarly journals Unstable Angina with Normal Coronary Angiography in Hyperthyroidism: A Case Report

2005 ◽  
Vol 21 (1) ◽  
pp. 29-33 ◽  
Author(s):  
Tsung-Hsien Lin ◽  
Ho-Ming Su ◽  
Wen-Chol Voon ◽  
Wen-Ter Lai ◽  
Sheng-Hsiung Sheu
Keyword(s):  
Case Report ◽  
Coronary Angiography ◽  
Unstable Angina ◽  
Normal Coronary Angiography
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