Elevated troponin and left bundle branch block in the setting of suspected septicemia and demand ischemia: to treat or not to treat.
Publication/Presentation Date
7-10-2018
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.
Volume
8
Issue
3
First Page
1073
Last Page
1073
ISSN
2039-7275
Published In/Presented At
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), 1073. https://doi.org/10.4081/cp.2018.1073
Disciplines
Medicine and Health Sciences
PubMedID
30090218
Department(s)
Department of Medicine, Cardiology Division
Document Type
Article