27-Year-Old Man with a Positive Troponin: A Case Report
Lakshman Manjunath1, Apurva Yeluru2, Fatima Rodriguez2,3
1Department of Medicine, Stanford University, Stanford, CA, USA. lmanju@stanford.edu.
Cardiology and Therapy
|October 28, 2018
Summary
A young athlete
Area of Science:
- Cardiology
- Clinical Diagnostics
Background:
- A young male athlete with a family history of sudden cardiac death presented with chest pain.
- Elevated serum troponin levels were detected, prompting further investigation.
Purpose of the Study:
- To report a case of elevated troponin in a young athlete.
- To discuss potential causes of false-positive troponin results.
Main Methods:
- Case report analysis.
- Clinical evaluation including assessment for cardiovascular risk factors.
- Laboratory testing for cardiac biomarkers and heterophile antibodies.
Main Results:
- The patient exhibited hypertension, hyperlipidemia, and mild left ventricular hypertrophy.
- Non-obstructive coronary artery disease was identified.
- Serum heterophile antibodies were present, potentially contributing to the positive troponin result.
Conclusions:
- Rigorous exercise and heterophile antibodies may cause elevated troponin in athletes.
- Troponin assays require clinical context due to potential nonspecificity.
- This case highlights the importance of considering confounding factors in troponin interpretation.
More Related Videos
Related Concept Videos
01:24Data Reporting and Recording
5.4K
Reporting and recording are crucial in data documentation. The timely, thorough, and accurate documentation of facts is essential when recording patient data. Failure to record findings during an assessment or interpretation of a problem will result in loss of information and make the patient document unreliable. The reader is left with general impressions if the information is not specific. A recording is documenting data of the individual's health information in a traceable, secure, and...
5.4K
02:32Position-effect Variegation
7.1K
In 1928, a German botanist Emil Heitz observed the moss nuclei with a DNA binding dye. He observed that while some chromatin regions decondense and spread out in the interphase nucleus, others do not. He termed them euchromatin and heterochromatin, respectively. He proposed that the heterochromatin regions reflect a functionally inactive state of the genome. It was later confirmed that heterochromatin is transcriptionally repressed, and euchromatin is transcriptionally active chromatin.
7.1K
01:25Types of Reports I: Hands-off Report
1.5K
A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process:
Following are the key components and categories of hand-off reports:
Purpose and Process:
1.5K
01:31Position and Displacement
25.9K
The position of an object defines its location relative to a convenient frame of reference at any particular time. A frame of reference is an arbitrary set of axes from which the position and motion of an object are described. Earth is often used as a frame of reference, and we often describe the position of an object as it relates to stationary objects on Earth. For example, a rocket launch could be described in terms of the position of the rocket with respect to Earth as a whole. On the other...
25.9K
01:03Serial Position Effect
542
The serial position effect is a cognitive phenomenon where individuals are more likely to recall the first and last items in a list compared to those in the middle. This effect is divided into the primacy effect and the recency effect. The primacy effect is observed when the initial items in a list are remembered better. This occurs because these items are rehearsed more frequently or receive more elaborative processing, allowing them to be encoded into long-term memory more effectively. For...
542
01:21Types of Reports II: Incident or Occurrence Report
1.3K
An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
1.3K