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

2012; Military Health Department, Ministry of Defance, Serbia; Volume: 69; Issue: 10 Linguagem: Inglês

10.2298/vsp1210913v

2406-0720

Rada Vučić, Slavko Knezevic, Zorica Lazić, Olivera Andrejić, Dragan Dinčić, Violeta Irić-Ćupić, Vladimir Zdravković,

Cardiac Imaging and Diagnostics

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.We presented a female patient with chest pain, admitted because of suspicioun of acute coronary syndrome. 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.Isolated increased troponin values are not enough for diagnosis of acute coronary syndrome.