Template:Elevated troponin DDX: Difference between revisions
| Line 6: | Line 6: | ||
====False (Non-CAD) Positives==== | ====False (Non-CAD) Positives==== | ||
*[[Pericarditis]] | *[[Pericarditis]] | ||
*[[Myocarditis]] | |||
*[[PE]] | *[[PE]] | ||
*[[CHF]] | *[[CHF]] | ||
| Line 25: | Line 26: | ||
*Rheumatoid Factor | *Rheumatoid Factor | ||
*Heterophilic antibodies | *Heterophilic antibodies | ||
*Apical ballooning syndrome | |||
*Cardiac procedures (surgery, ablation, pacing, stenting) | |||
*Extreme exertion | *Extreme exertion | ||
Revision as of 22:51, 16 January 2020
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