[Troponin Elevation in the Absence of Acute Coronary Syndrome]

Ann Cardiol Angeiol (Paris). 2016 Nov;65(5):340-345. doi: 10.1016/j.ancard.2016.09.006. Epub 2016 Sep 29.
[Article in French]

Abstract

Cardiac troponins are the most sensitive and specific markers of myocardial injury. Cardiac troponin elevation are common in many diseases and do not necessarily indicate the presence of a thrombotic acute coronary syndrome. In clinical practice, interpretation of dynamic changes of troponin may be challenging. Troponin evaluation should be performed only if clinically indicated and must be interpreted in the context of clinical presentation, ECG changes, troponin level and kinetic. In the absence of thrombotic acute coronary syndrom, troponin retains a prognostic value. Its practical interest as a risk criteria is limited to a few situations like pulmonary embolism, pericarditis an myocarditis.

Keywords: Acute coronary syndrome; Infarctus de type 2; Myocardite; Myocarditis; Risk stratification; Stratification du risque; Syndrome coronarien aigu; Takotsubo; Troponin; Troponine; Type 2 myocardial infarction.

Publication types

  • Review

MeSH terms

  • Acute Coronary Syndrome / blood*
  • Acute Coronary Syndrome / diagnosis*
  • Coronary Thrombosis / blood
  • Coronary Thrombosis / diagnosis
  • Diagnosis, Differential
  • Electrocardiography
  • Humans
  • Myocardial Infarction / blood
  • Myocardial Infarction / diagnosis
  • Myocarditis / blood
  • Myocarditis / diagnosis
  • Pulmonary Embolism / blood
  • Pulmonary Embolism / diagnosis
  • Risk Assessment
  • Takotsubo Cardiomyopathy / diagnosis
  • Troponin / blood*

Substances

  • Troponin