A Case Report of Unexplained Isolated Elevation of Troponin

Öz

Cardiac troponins have high clinical sensitivity and specificity for the detection of myocardial injury. Elevated cardiac troponin levels may also occur in non cardiovascular conditions, leading to a misdiagnosis of acute coronary syndrome. In this paper, we report a case of unexplained isolated elevation of troponin.

Anahtar Kelimeler

• Troponin, acute coronary syndrome

Açıklanamayan Yalın Troponin Yüksekliği Olgusu

Öz

Kardiyak troponinler miyokart enfarktüsü tanısında yüksek duyarlık ve özgüllüğe sahiptir. Yüksek troponin seviyeleri bazen kalp dışı nedenlerle ortaya çıkar ve yanlışlıkla akut koroner sendrom tanısı konulabilir. Bu çalışmada izole troponin yüksekliği saptanmış bir olguyu sunuyoruz.

Anahtar Kelimeler

• Troponin, akut koroner sendrom.

Kaynakça

1. Wu AH, Jialal I. How specific is cardiac troponin? Am J Clin Pathol 2000;114:509-11.
2. Alcalai R, Planer D, Culhaoglu A, Osman A, Pollak A, Lotan C. Acute coronary syndrome vs nonspecific troponin eleva- tion: clinical predictors and survival analysis. Arch Intern Med 2007;167:276-81.
3. De Gennaro L, Brunetti ND, Cuculo A, et al. Increased troponin le- vels in non-ischemic cardiac conditions and non-cardiac diseases. J Interv Cardiol 2008;21:129-39.
4. Kounis NG, Zavras GM. Histamine-induced coronary artery spasm: the concept of allergic angina. Br J Clin Pract 1991;45:121-8.
5. Ridella M, Bagdure S, Nugent K, Cevik C. Kounis syndrome fol- lowing beta-lactam antibiotic use: review of literature. Inflamm Al- lergy Drug Targets 2009;8:11-6.