Troponine Ultra-sensible: Quelles Indications et Comment Interpréter les Résultats en Gériatrie Un cas d'Élévation de la Troponine chez une Octogénaire
Keywords:
Gériatrie, syndrome coronarien aigu, troponineAbstract
La troponine T ultra-sensible (us), marqueur biologique spécifique du cœur, peut être élevée dans des conditions pathologiques autres que le syndrome coronarien aigu. Ces autres causes peuvent ou non être directement liées aux maladies cardiaques. Nous rapportons le cas d'une patiente de 85 ans présentant de multiples événements cardiovasculaires qui présentait une élévation de la troponine T us à 1088 pg/ml, probablement due à de multiples étiologies.
The ultra-sensitive troponin T (us), a specific biological marker of the heart, may be elevated in pathological conditions other than acute coronary syndrome. These other causes may or may not be directly related to heart disease. We report the case of an 85-year-old female patient with multiple cardiovascular events who presented an elevation of us troponin T to 1088 pg / ml, probably due to multiple etiologies.
References
Bardají, A., Cediel, G., Carrasquer, A., de Castro, R., Sánchez, R., &
Boqué, C. (2015). Troponin Elevation in Patients Without Acute
Coronary Syndrome. Revista Española de Cardiología (English
Edition), 68(6), 469‑476. https://doi.org/10.1016/j.rec.2014.10.018
Bertinchant, J.-P., & Polge, A. (2004). Place du dosage des
troponines. EMC - Cardiologie-Angéiologie, 1(4), 317‑322.
https://doi.org/10.1016/j.emcaa.2004.07.001
Bhatia, L. C., & Naik, R. H. (2013). Clinical profile of acute
myocardial infarction in elderly patients. Journal of Cardiovascular
Disease Research, 4(2), 107‑111.
https://doi.org/10.1016/j.jcdr.2012.07.003
Boukili M, Y. (2012). [Sensitive troponin : A new definition of acute
myocardial infarction?]. Presse Medicale (Paris, France: 1983), 41(6
Pt 1), 634‑637. https://doi.org/10.1016/j.lpm.2012.02.036
Chenevier-Gobeaux, C., Meune, C., Freund, Y., Wahbi, K.,
Claessens, Y.-E., Doumenc, B., Zuily, S., Riou, B., & Ray, P. (2013).
Influence of age and renal function on high-sensitivity cardiac
troponin T diagnostic accuracy for the diagnosis of acute myocardial
infarction. The American Journal of Cardiology, 111(12), 1701‑1707.
https://doi.org/10.1016/j.amjcard.2013.02.024
Lavoinne, A., & Cauliez, B. (2004). [Cardiac troponin I and T :
Specific biomarkers of cardiomyocyte]. La Revue De Medecine
Interne, 25(2), 115‑123. https://doi.org/10.1016/s0248-
(03)00218-2
Manfrini, O., Ricci, B., Cenko, E., Dorobantu, M., Kalpak, O.,
Kedev, S., Kneževic, B., Koller, A., Milicic, D., Vasiljevic, Z.,
Badimon, L., Bugiardini, R., & ISACS-TC Investigators. (2016).
Association between comorbidities and absence of chest pain in acute
coronary syndrome with in-hospital outcome. International Journal
of Cardiology, 217 Suppl, S37-43.
https://doi.org/10.1016/j.ijcard.2016.06.221
Nallet, O., Gouffran, G., & Lavie Badie, Y. (2016). [Troponin
elevation in the absence of acute coronary syndrome]. Annales De
Cardiologie Et D’angeiologie, 65(5), 340‑345.
https://doi.org/10.1016/j.ancard.2016.09.006
Pruvot, S., Galidie, G., Bergmann, J.-F., & Mahé, I. (2006).
[Troponin and other markers of myocardial ischemia injury, what is
the relevance in internal medicine?]. La Revue de medecine interne,
(3), 215‑226. https://doi.org/10.1016/j.revmed.2005.09.025
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 ESI Preprints

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.