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Article: CAR-4. Chest pain and increased Troponin: acute coronary syndrome?(Section on Cardiology)
- Article from:
- Southern Medical Journal
- Article date:
- October 1, 2004
- Author:
CopyrightCOPYRIGHT 2004 Southern Medical Association. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan. All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)
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A 31-year-old male with past medical history of infective endocarditis and aortic valve replacement presented from an outside hospital with chest pain for 1 day, EKG changes and rise in his cardiac enzymes. He presented there with sharp chest pain, refractory to sublingual nitroglycerin and intravenous Dilaudid and difficulty breathing. EKG showed T wave inversions inferolaterally. His second set of Troponin-I was positive. He was transferred to our hospital for further management. On exam, a systolic murmur was noted. His Troponin-T at our hospital was elevated at 0.5. Transesophageal echocardiogram showed possible evidence of myocardial infarction with wall motion ...