Volume 111, Issue 3 , Pages 442-449, 28 August 2006
Elevated troponin level is not synonymous with myocardial infarction☆☆☆
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☆ Supported in part by Maimonides Research Grant.
☆☆ This is the largest series on retrospective analysis of patients with elevated troponin levels. We believe that this study elucidates the etiology and pathophysiology of elevated cardiac troponin I in patients with normal coronary arteries on angiography. Elevated troponins reflect myonecrosis as a result of imbalance between myocardial oxygen supply and consumption. Acute myocardial infarction is a clinical diagnosis. Elevated troponin levels should be interpreted appropriately based on underlying clinical setting. This study is a retrospective study, and hence did not involve any patient contact. Also, it had the approval of the Internal Review Board.
PII: S0167-5273(05)01162-9
doi:10.1016/j.ijcard.2005.08.029
© 2006 Published by Elsevier Inc.
Volume 111, Issue 3 , Pages 442-449, 28 August 2006
