PULMONARY ARTERY THROMBOSIS WITH POSITIVE TROPONIN: DO WE NEED MORE DIAGNOSIS? CASE REPORT
Abstract:
The utility of troponine for detecting the myocitary necrosis is now well known. There are also cases of false positive results, but a good clinical judgment, together with complementary evaluation, will orientate the diagnosis. We present the case of a 54 years old patient which was admitted for dyspnea, thoracic pain and severe asthenia. An increase of the troponine at a level of three times over the limit which is considered to be normal, at a patient with electrocardiograph changes suggestive for acute myocardial infarction made the differential diagnosis very hard to establish. We underline the importance of a correct interpretation of the increasing of the troponine levels, fact which will bring to an accurate diagnosis and an adequate therapeutic attitude.
articol integral în limba engleză (.EN) |