Sharma Nava R, Sharma Bharosa, Pokhrel Madalasa, Gautam Sudarshan, Lamichhane Saral
Medicine, Manipal College of Medical Science, Pokhara, NPL.
Internal Medicine, John H. Stroger Jr. Hospital of Cook County, Chicago, USA.
Cureus. 2023 Jan 30;15(1):e34377. doi: 10.7759/cureus.34377. eCollection 2023 Jan.
Acute coronary syndrome remains the primary cause of mortality and morbidity in the United States. Cardiac ischemia is a consequence of an imbalance between oxygen demand and supply. The sensitivity of troponin is above 99% in diagnosing cardiac injury; rare exceptions can occur, however. We present a case of acute coronary syndrome with a negative troponin level, even on repeated testing using different methods at two different centers.
急性冠脉综合征仍然是美国死亡率和发病率的主要原因。心脏缺血是氧供需失衡的结果。肌钙蛋白在诊断心脏损伤时的敏感性高于99%；然而，也可能出现罕见的例外情况。我们报告一例急性冠脉综合征患者，其肌钙蛋白水平为阴性，即使在两个不同中心使用不同方法进行重复检测时也是如此。
