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Abnormal troponin I levels during pregnancy without acute coronary syndrome and without hypertensive disorders

2007; Elsevier BV; Volume: 128; Issue: 2 Linguagem: Inglês

10.1016/j.ijcard.2007.04.026

1874-1754

Salvatore Patanè, Filippo Marte, Gianluca Di Bella, M Davì,

Cardiac Structural Anomalies and Repair

Acute myocardial infarction has been reported in pregnant women [ 1 Trouton T.G. Sidhu H. Adgey A.A. Myocardial infarction in pregnancy. Int J Cardiol. Jan 1988; 18: 35-39 Abstract Full Text PDF PubMed Scopus (19) Google Scholar , 2 Janion M. Sielski J. Janion-Sadowska A. Myocardial infarction in pregnant women—case reports. Int J Cardiol. 2007; 121: 207-209 Abstract Full Text Full Text PDF PubMed Scopus (7) Google Scholar ]. Cardiac troponin I is unaffected by normal pregnancy, labour, and delivery and therefore it is the investigation of choice in the diagnosis of acute coronary syndrome [ 3 Shade G.H. Ross G. Bever F.N. et al. Troponin I in the diagnosis of acute myocardial infarction in pregnancy, labour and post partum. Am J Obstet Gynecol. 2002; 187: 19-20 Abstract Full Text Full Text PDF Scopus (37) Google Scholar , 4 Thorne S.A. Pregnancy in heart disease. Heart. 2004; 90 (Apr): 450-456 Crossref PubMed Scopus (118) Google Scholar ]. Serum cardiac troponin I is also elevated in women with hypertensive disorders of pregnancy indicating some degree of cardiac myofibrillary damage in these disorders [ [5] Fleming S.M. O'Gorman T. Finn J. Grimes H. Daly K. Morrison J.J. Cardiac troponin I in pre-eclampsia and gestational hypertension. BJOG. Nov 2000; 107: 1417-1420 Crossref PubMed Scopus (81) Google Scholar ] and elevated troponin levels have been also reported in patients with preeclampsia [ [6] Nabatian S. Quinn P. Brookfield L. Lakier J. Acute coronary syndrome and preeclampsia. Obstet Gynecol. Nov 2005; 106: 1204-1206 Crossref PubMed Scopus (17) Google Scholar ]. We describe a case of abnormal troponin I levels during pregnancy without acute coronary syndrome and without hypertensive disorders.