This case report illustrates the differential diagnosis and systematic work-up of deadly causes of chest pain in a patient with markedly elevated troponin I and non-specific ECG findings.
Markedly elevated troponin with nonspecific ECG warrants urgent workup for serious etiologies; this single case leaves open generalizability.
A 50-year-old male presented to the emergency department with four days of intermittent chest pain and shortness of breath, which progressively worsened in severity. Testing revealed a troponin I greater than 100 times the upper limit of normal and an electrocardiogram with non-specific findings. This case takes the reader through the differential diagnosis and systematic work-up of the deadly causes of chest pain, ultimately leading to this patient's diagnosis.
No takes yet. Share an insight, caveat, or question.
Fernandez et al. (2019) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: