Fluctuation of Spuriously Elevated Troponin I : A Case Report
Joint Authors
Kazan, Viviane
Altorok, Neezam
Lewis, Keith
Ghali, Sam
Taji, Jamil
Taleb, Mohammad
Lanka, Kiranmayee
Assaly, Ragheb
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-06-07
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Serum troponin is a useful laboratory study for the diagnosis of acute myocardial infarction.
However, elevations can also be seen in a variety of other diseases processes.
Falsely positive troponin values caused by interference with current troponin assays have been reported.
We report a unique case that demonstrates the fluctuation of falsely elevated troponin correlating with hemoglobin, serving as a marker of heterophile antibody levels.
A 74-year-old gentleman presented to our Emergency Department with a several-day history of increasing shortness of breath associated with a new-onset chest pain and a troponin I level of 77.28 ng/mL.
Throughout his stay, fluctuations in measured troponin levels correlated strongly with fluctuations in hemoglobin levels.
Several investigations confirmed false elevated troponin levels secondary to heterophile antibody interference.
We conclude that hemoglobin trending in our patient represented a surrogate measure of his heterophile antibody titers with time and that fluctuations in these levels correlated with respective fluctuations in the falsely elevated troponin levels.
American Psychological Association (APA)
Ghali, Sam& Lewis, Keith& Kazan, Viviane& Altorok, Neezam& Taji, Jamil& Taleb, Mohammad…[et al.]. 2012. Fluctuation of Spuriously Elevated Troponin I : A Case Report. Case Reports in Critical Care،Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-482886
Modern Language Association (MLA)
Ghali, Sam…[et al.]. Fluctuation of Spuriously Elevated Troponin I : A Case Report. Case Reports in Critical Care No. 2012 (2012), pp.1-4.
https://search.emarefa.net/detail/BIM-482886
American Medical Association (AMA)
Ghali, Sam& Lewis, Keith& Kazan, Viviane& Altorok, Neezam& Taji, Jamil& Taleb, Mohammad…[et al.]. Fluctuation of Spuriously Elevated Troponin I : A Case Report. Case Reports in Critical Care. 2012. Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-482886
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-482886