[A high troponin value: about a favourable evolution case]
F Soula1, N Grozieux de Laguerenne, E-M Pretorian
1Laboratoire de biologie polyvalente, centre hospitalier de Douai, BP 10740, route de Cambrai, 59507 Douai cedex, France. fabienne.soula@ch-douai.fr
Abstract:
Cardiac troponin I (TnIC) is a sensitive and specific marker for myocardial injuries. A part from its diagnosis character, troponin is a major element for mid term prognosis with regard to occurred cardiovascular events. We are reporting the case of a 56-year-old man admitted to hospital for an inaugural myocardial infarction with positive evolution despite a very high level of troponin (1200 ng/ml) in post re-vascularisation. The context of moderate risk factors and the early re-vascularisation probably contributed to a favourable evolution of the patient. A very high troponin value seems to be more in favour of an effective re-perfusion rather than a mid term prognosis factor in this case.
Related Concept Videos
Blood Studies for Cardiovascular System I: Cardiac Biomarkers
The essential diagnostic tools for detecting myocardial necrosis and monitoring individuals suspected of having acute coronary syndrome (ACS) include:
Troponins
Troponins, particularly cardiac troponins I and T, are the most precise and sensitive markers of myocardial injury. They are detectable within 4-6 hours of myocardial injury and remain...
Acute Coronary Syndrome III: Diagnostic Studies
Acute Coronary Syndrome I: Introduction
Myocarditis II: Clinical Features and Diagnostic Tests
Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT

