Elevated troponin and left bundle branch block in the setting of suspected septicemia and demand ischemia: to treat or not to treat

  • Munish Sharma | munishs1@hotmail.com Department of Internal Medicine, Easton Hospital, Easton, PA, United States.
  • Rubinder Toor Department of MPH@GW, George Washington University, Milken Institute School of Public Health, Washington DC, United States.
  • Koroush Khalighi Department of Cardiology, Director of Electrophysiology Lab, Easton Hospital, PA, United States.

Abstract

Elevated troponin and atypical chest pain in the setting of septicemia and Type II Non ST elevation myocardial infarction is frequently encountered. These cases are not necessarily scheduled for emergent cardiac catheterization. High index of clinical suspicion and continuous in-patient cardiac monitoring with serial trending of cardiac enzymes are important in such cases. Subsequent sudden development of electrocardiogram changes requires prompt investigation with emergent coronary catheterization. These types of cases may be missed especially in females who present with atypical chest pain and in patients with Left bundle branch block.

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Published
2018-07-10
Section
Case Reports
Keywords:
Myocardial infarction, troponin elevation, left bundle branch block, cardiac enzymes.
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How to Cite
Sharma, M., Toor, R., & Khalighi, K. (2018). Elevated troponin and left bundle branch block in the setting of suspected septicemia and demand ischemia: to treat or not to treat. Clinics and Practice, 8(3). https://doi.org/10.4081/cp.2018.1073

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