肌钙蛋白升高的非缺血性原因。
A non-ischaemic cause of elevated troponin.
作者信息
Lefort Guy, D'Antonio Claude, Caffery Terrell
机构信息
Department of Emergency Medicine, LSU Health Baton Rouge, Baton Rouge, Louisiana, USA.
出版信息
BMJ Case Rep. 2014 Apr 4;2014:bcr2014203729. doi: 10.1136/bcr-2014-203729.
Abstract
A 27-year-old woman with chest pain was admitted for elevated troponin levels. Troponin remained mildly elevated upon repeat testing, and a review of the medical record revealed that she had had an elevated troponin level in the past. She had a cardiac catheterisation that revealed angiographically normal coronary arteries. Repeat troponin testing with and without ethylene glycol revealed a negative troponin level after addition of ethylene glycol, suggesting antibodies were interfering with the assay.
摘要
一名27岁胸痛女性因肌钙蛋白水平升高入院。复查时肌钙蛋白仍轻度升高，查阅病历发现她过去肌钙蛋白水平也曾升高。她接受了心脏导管检查，血管造影显示冠状动脉正常。在添加和不添加乙二醇的情况下重复检测肌钙蛋白，添加乙二醇后肌钙蛋白水平呈阴性，提示抗体干扰了检测。
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