Template:Elevated troponin DDX: Difference between revisions
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===Elevated Troponin=== | ===Elevated Troponin=== | ||
====True Positive=== | ====[[ACS|True Positive]]==== | ||
*[[STEMI]] | *Occlusive myocardial infarction | ||
*[[NSTEMI]] | **[[STEMI]] | ||
**[[NSTEMI]] | |||
====False (Non-CAD) Positives==== | ====False (Non-CAD) Positives==== | ||
*[[Pericarditis]] | *[[Pericarditis]] | ||
*[[Myocarditis]] | |||
*[[PE]] | *[[PE]] | ||
*[[CHF]] | *[[CHF]] | ||
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*[[Acute Renal Failure|Renal failure]] | *[[Acute Renal Failure|Renal failure]] | ||
**Assume true positive until proven otherwise | **Assume true positive until proven otherwise | ||
*[[ESRD]] | |||
**86% elevated predialysis in troponin-T | |||
**6% elevated predialysis in troponin-I | |||
***no difference in post-MI troponin-I clearance rate in ESRD vs. normal GFR | |||
*[[Cardioversion]] | *[[Cardioversion]] | ||
*Cardiotoxic medications | *Cardiotoxic medications | ||
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*Rheumatoid Factor | *Rheumatoid Factor | ||
*Heterophilic antibodies | *Heterophilic antibodies | ||
*Apical ballooning syndrome | |||
*Cardiac procedures (surgery, ablation, pacing, stenting) | |||
*Extreme exertion | |||
Latest revision as of 17:10, 6 May 2022
Elevated Troponin
True Positive
False (Non-CAD) Positives
- Pericarditis
- Myocarditis
- PE
- CHF
- Sepsis
- Dissection
- Arrhythmias
- CVA
- SAH
- Burns
- Renal failure
- Assume true positive until proven otherwise
- ESRD
- 86% elevated predialysis in troponin-T
- 6% elevated predialysis in troponin-I
- no difference in post-MI troponin-I clearance rate in ESRD vs. normal GFR
- Cardioversion
- Cardiotoxic medications
- Amyloidosis
- Rheumatoid Factor
- Heterophilic antibodies
- Apical ballooning syndrome
- Cardiac procedures (surgery, ablation, pacing, stenting)
- Extreme exertion