Document Detail

Elevated brain natriuretic peptide and troponin I in a woman with generalized weakness and chest pain.
MedLine Citation:
PMID:  15725164     Owner:  NLM     Status:  MEDLINE    
We report the case of a female patient emergently transferred to our institution with the presumptive diagnosis of myocardial infarction in heart failure given the constellation of symptoms and abnormal laboratory cardiac markers on presentation. However, on closer examination, prior to instituting an invasive cardiac work-up, pulmonary embolism was instead strongly considered to explain a common etiology. Therefore, an echocardiogram was promptly obtained, which revealed the presence of McConnell's sign. This noninvasive imaging modality proved to be critical in the prompt recognition and management of this patient. We reviewed the literature regarding the use of echocardiography and the clinical significance of abnormal cardiac markers in patients presenting pulmonary embolism.
Joanne Simpson; Angel López-Candales
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Echocardiography (Mount Kisco, N.Y.)     Volume:  22     ISSN:  0742-2822     ISO Abbreviation:  Echocardiography     Publication Date:  2005 Mar 
Date Detail:
Created Date:  2005-02-23     Completed Date:  2005-07-14     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8511187     Medline TA:  Echocardiography     Country:  United States    
Other Details:
Languages:  eng     Pagination:  267-71     Citation Subset:  IM    
Department of Medicine, University of Pittsburgh Medical Center, Presbyterian hospital, Pittsburgh, Pennsylvania, USA.
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MeSH Terms
Diagnosis, Differential
Heart Failure / blood,  diagnosis
Myocardial Infarction / blood,  diagnosis*
Natriuretic Agents / blood*
Natriuretic Peptide, Brain / blood*
Pulmonary Embolism / blood,  diagnosis*
Tibia / blood supply
Troponin I / blood*
Venous Thrombosis / ultrasonography
Reg. No./Substance:
0/Natriuretic Agents; 0/Troponin I; 114471-18-0/Natriuretic Peptide, Brain

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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