Síguenos en Twitter     Síguenos en Facebook     Síguenos en Google+     Síguenos en YouTube     Siguenos en Linkedin     Correo Grupsagessa     Gmail     Yahoo Mail     Dropbox     Instagram     Pinterest     Slack     Google Drive     Reddit     StumbleUpon     Print

SOBRE EL AUTOR **

Mi foto
FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

WORLD EMERGENCY MEDICINE SOCIETIES

Cranial Nerve VI Palsy Emergency

Buscar en contenido

Contenido:

miércoles, 3 de febrero de 2016

Elevated Troponin

emDocs - February 2, 2016 - Author: Smith C - Edited by: Koyfman A and Long B
Conclusion
A troponin elevation does not mean it’s ACS. At the end of the day, troponin is a tool and nothing more. Physicians must take into account the entire clinical picture: history, exam, ECG, baseline labs, response to treatment, clinical gestalt, etc. Several studies have suggested that in ACS, the initial troponin I on average is higher than elevations in non-ACS cases, with a median troponin of 0.14 ng/mL. This can be just another tool to decipher the diagnosis causing an elevated troponin in our patients.
However, the critical step is to realize that not every elevated troponin is cardiac in nature. We must be wary of tunnel vision and broaden our differential because if we don’t, we risk missing high morbidity/mortality entities.