De Gennaro Luisa, Brunetti Natale Daniele, Cuculo Andrea, Pellegrino Pier Luigi, Izzo Paolo, Roma Francesco, Di Biase Matteo
Cardiology Department, University of Foggia, Foggia, Italy.
J Interv Cardiol. 2008 Apr;21(2):129-39. doi: 10.1111/j.1540-8183.2007.00336.x. Epub 2008 Jan 28.
Elevated cardiac troponin levels often lead to a diagnosis of acute coronary syndrome (ACS). However, this finding may occur also in other conditions, both nonischemic and noncardiovascular, leading to an incorrect diagnosis of ACS and, sometimes, invasive tests. We describe various cardiovascular diseases other than ACS (heart failure, pulmonary embolism, etc.) and noncardiovascular diseases (renal failure, etc.) that may cause elevated troponin levels and give possible explanations and prognostic relevance for this rise.
心肌肌钙蛋白水平升高常导致急性冠状动脉综合征（ACS）的诊断。然而，这一发现也可能出现在其他情况中，包括非缺血性和非心血管性疾病，从而导致ACS的误诊，有时还会进行侵入性检查。我们描述了除ACS之外的各种心血管疾病（心力衰竭、肺栓塞等）和非心血管疾病（肾衰竭等），这些疾病可能导致肌钙蛋白水平升高，并对这种升高给出了可能的解释及其预后相关性。
