Spuriously Elevated Cardiac Troponin in the Setting of Atypical Chest Pain Presentation
A 47-year-old woman presented with atypical chest pain and a troponin level of 30.15 ng/dl. A detailed diagnostic work-up did not detect an acute myocardial infarction but revealed the presence of heterophile antibodies. Laboratory values need to be interpreted in the context of the clinical picture...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2020-05-01
|
| Series: | JACC: Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666084920303405 |
| _version_ | 1818740516039163904 |
|---|---|
| author | Kamal M. Kassem, MD Mahboob Ali, MD Naseem Ghazanfari, MD Mohamed Effat, MD |
| author_facet | Kamal M. Kassem, MD Mahboob Ali, MD Naseem Ghazanfari, MD Mohamed Effat, MD |
| author_sort | Kamal M. Kassem, MD |
| collection | DOAJ |
| description | A 47-year-old woman presented with atypical chest pain and a troponin level of 30.15 ng/dl. A detailed diagnostic work-up did not detect an acute myocardial infarction but revealed the presence of heterophile antibodies. Laboratory values need to be interpreted in the context of the clinical picture when test results do not correspond to clinical findings. (Level of Difficulty: Beginner.) |
| first_indexed | 2024-12-18T01:41:58Z |
| format | Article |
| id | doaj.art-83157e209e6544d3baa0a5effeba6616 |
| institution | Directory Open Access Journal |
| issn | 2666-0849 |
| language | English |
| last_indexed | 2024-12-18T01:41:58Z |
| publishDate | 2020-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JACC: Case Reports |
| spelling | doaj.art-83157e209e6544d3baa0a5effeba66162022-12-21T21:25:17ZengElsevierJACC: Case Reports2666-08492020-05-0125790795Spuriously Elevated Cardiac Troponin in the Setting of Atypical Chest Pain PresentationKamal M. Kassem, MD0Mahboob Ali, MD1Naseem Ghazanfari, MD2Mohamed Effat, MD3Department of Internal Medicine, University of Cincinnati Medical Center, Cincinnati, Ohio; Address for correspondence: Dr. Kamal M. Kassem, Department of Internal Medicine, University of Cincinnati, 231 Albert Sabin Way, PO Box 670557, Cincinnati, Ohio 45267.Division of Cardiovascular Health and Disease, Department of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, OhioDivision of Cardiovascular Health and Disease, Department of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, OhioDivision of Cardiovascular Health and Disease, Department of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, OhioA 47-year-old woman presented with atypical chest pain and a troponin level of 30.15 ng/dl. A detailed diagnostic work-up did not detect an acute myocardial infarction but revealed the presence of heterophile antibodies. Laboratory values need to be interpreted in the context of the clinical picture when test results do not correspond to clinical findings. (Level of Difficulty: Beginner.)http://www.sciencedirect.com/science/article/pii/S2666084920303405cardiac magnetic resonancecomputed tomographyelectrocardiogramheterophile antibodiesleft-sided catheterizationtroponin |
| spellingShingle | Kamal M. Kassem, MD Mahboob Ali, MD Naseem Ghazanfari, MD Mohamed Effat, MD Spuriously Elevated Cardiac Troponin in the Setting of Atypical Chest Pain Presentation JACC: Case Reports cardiac magnetic resonance computed tomography electrocardiogram heterophile antibodies left-sided catheterization troponin |
| title | Spuriously Elevated Cardiac Troponin in the Setting of Atypical Chest Pain Presentation |
| title_full | Spuriously Elevated Cardiac Troponin in the Setting of Atypical Chest Pain Presentation |
| title_fullStr | Spuriously Elevated Cardiac Troponin in the Setting of Atypical Chest Pain Presentation |
| title_full_unstemmed | Spuriously Elevated Cardiac Troponin in the Setting of Atypical Chest Pain Presentation |
| title_short | Spuriously Elevated Cardiac Troponin in the Setting of Atypical Chest Pain Presentation |
| title_sort | spuriously elevated cardiac troponin in the setting of atypical chest pain presentation |
| topic | cardiac magnetic resonance computed tomography electrocardiogram heterophile antibodies left-sided catheterization troponin |
| url | http://www.sciencedirect.com/science/article/pii/S2666084920303405 |
| work_keys_str_mv | AT kamalmkassemmd spuriouslyelevatedcardiactroponininthesettingofatypicalchestpainpresentation AT mahboobalimd spuriouslyelevatedcardiactroponininthesettingofatypicalchestpainpresentation AT naseemghazanfarimd spuriouslyelevatedcardiactroponininthesettingofatypicalchestpainpresentation AT mohamedeffatmd spuriouslyelevatedcardiactroponininthesettingofatypicalchestpainpresentation |