Key result
Elevated troponin levels and electrocardiological evidence of myocardial necrosis can occur in acute rheumatic fever, mimicking an acute coronary syndrome.
Case Report
Elevated troponin and chest pain can be caused by acute rheumatic fever, mimicking acute coronary syndrome.
An elevated troponin measurement does not always reflect myocardial ischaemia secondary to obstructive coronary artery disease. Troponin levels can also be elevated in other disease states including pulmonary emboli, myo-pericarditis, acute rheumatic fever, and in the critically ill. Thus, patients presenting with chest pain and electrocardiological and biochemical evidence of myocardial necrosis are not always suffering from an acute coronary syndrome.
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Turley et al. (2006) conducted a case report in Acute rheumatic fever mimicking acute coronary syndrome. Elevated troponin levels and electrocardiological evidence of myocardial necrosis can occur in acute rheumatic fever, mimicking an acute coronary syndrome.
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