[Troponin elevation in the absence of acute coronary syndrome].
Cardiac troponins are the most sensitive and specific markers of myocardial injury. Cardiac troponin elevation are common in many diseases and do not necessarily indicate the presence of a thrombotic acute coronary syndrome. In clinical practice, interpretation of dynamic changes of troponin may be challenging. Troponin evaluation should be performed only if clinically indicated and must be interpreted in the context of clinical presentation, ECG changes, troponin level and kinetic. In the absence of thrombotic acute coronary syndrom, troponin retains a prognostic value. Its practical interest as a risk criteria is limited to a few situations like pulmonary embolism, pericarditis an myocarditis.
Service de cardiologie, centre hospitalier Le Raincy-Montfermeil, rue du Général-Leclerc, 93370 Montfermeil, France. Electronic address: olivierparisnallet@gmail.com.
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Nallet
Service de cardiologie, centre hospitalier Le Raincy-Montfermeil, rue du Général-Leclerc, 93370 Montfermeil, France.
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Gouffran
Service de cardiologie, centre hospitalier Le Raincy-Montfermeil, rue du Général-Leclerc, 93370 Montfermeil, France.
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Lavie Badie
D054058:Acute Coronary Syndrome / Q000097:blood* / Q000175:diagnosis*; D003328:Coronary Thrombosis / Q000097:blood / Q000175:diagnosis; D003937:Diagnosis, Differential; D004562:Electrocardiography; D006801:Humans; D009203:Myocardial Infarction / Q000097:blood / Q000175:diagnosis; D009205:Myocarditis / Q000097:blood / Q000175:diagnosis; D011655:Pulmonary Embolism / Q000097:blood / Q000175:diagnosis; D018570:Risk Assessment; D054549:Takotsubo Cardiomyopathy / Q000175:diagnosis; D014336:Troponin / Q000097:blood*
D014336:Troponin
Acute coronary syndrome; Infarctus de type 2; Myocardite; Myocarditis; Risk stratification; Stratification du risque; Syndrome coronarien aigu; Takotsubo; Troponin; Troponine; Type 2 myocardial infarction