Document Detail

Review article: Elevated troponin: Diagnostic gold or fool's gold?
MedLine Citation:
PMID:  24708000     Owner:  NLM     Status:  In-Data-Review    
Troponin is a highly sensitive biomarker of myocardial injury and has been used extensively in everyday clinical practice in the community as well as in hospitals for the diagnosis of acute myocardial infarction (AMI) and for risk stratification of patients with acute coronary symptoms. Dynamic elevations in biomarkers (troponin) are considered fundamental to the diagnosis of AMI. Unfortunately, many clinical conditions can cause troponin elevation in the absence of myocardial ischaemia, and elevated levels sometimes pose a diagnostic dilemma. In some cases, inappropriate diagnosis of 'AMI' based primarily on a raised troponin can have a deleterious impact on an individual, including on driving, insurance and other medicolegal matters. An incorrect diagnosis of myocardial infarction can also lead to the oversight of serious life-threatening alternative causes of troponin elevation (e.g. pulmonary embolism). This article discusses the role of troponin in our everyday clinical practice in the ED.
Atifur Rahman; Simon A Broadley
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Emergency medicine Australasia : EMA     Volume:  26     ISSN:  1742-6723     ISO Abbreviation:  Emerg Med Australas     Publication Date:  2014 Apr 
Date Detail:
Created Date:  2014-04-08     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101199824     Medline TA:  Emerg Med Australas     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  125-30     Citation Subset:  IM    
Copyright Information:
© 2014 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine.
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