title: Elevation of troponin values in differential diagnosis of chest pain in view of pulmonary thromboembolism.
abstract: BACKGROUND
  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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  Isolated increased troponin values are not enough for diagnosis of acute coronary syndrome.
authors.affiliation: Cardiology Department, Clinic of Internal Medicine, Clinical Centre Kragujevac, Kragujevac, Serbia. rada.vucic@gmail.com
authors.forename: Rada
authors.initials: R
authors.lastname: Vucić
authors.forename: Slavko
authors.initials: S
authors.lastname: Knezević
authors.forename: Zorica
authors.initials: Z
authors.lastname: Lazić
authors.forename: Olivera
authors.initials: O
authors.lastname: Andrejić
authors.forename: Dragan
authors.initials: D
authors.lastname: Dincić
authors.forename: Violeta
authors.initials: V
authors.lastname: Irić-Cupić
authors.forename: Vladimir
authors.initials: V
authors.lastname: Zdravković
mesh_terms: D054058:Acute Coronary Syndrome / Q000175:diagnosis; D015415:Biomarkers / Q000097:blood; D002548:Cerebral Revascularization; D002637:Chest Pain; D003402:Creatine Kinase / Q000097:blood; D052279:Creatine Kinase, MB Form / Q000097:blood; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000175:diagnosis*; D014336:Troponin / Q000097:blood*
chemical_list: D015415:Biomarkers; D014336:Troponin; D003402:Creatine Kinase; D052279:Creatine Kinase, MB Form