RT Journal Article
SR Electronic
T1 Two cases of inflammatory muscle disease presenting with raised serum concentrations of troponin T
JF Journal of Clinical Pathology
JO J Clin Pathol
FD BMJ Publishing Group Ltd and Association of Clinical Pathologists
SP 1323
OP 1324
DO 10.1136/jcp.2005.025734
VO 58
IS 12
A1 J S Hamilton
A1 P C Sharpe
YR 2005
UL http://jcp.bmj.com/content/58/12/1323.abstract
AB Troponins T and I are highly sensitive markers of myocardial injury. However, non-cardiac disorders, such as pulmonary embolism, renal failure, subarachnoid haemorrhage, sepsis, eclampsia, chemotherapy, and inflammatory muscle conditions (dermatomyositis and polymyositis), can also result in raised serum troponin concentrations. This article describes two cases that occurred within a month of each other in Craigavon Area Hospital, whereby conditions unrelated to myocardial ischaemia resulted in raised concentrations of cardiac markers. The first patient, in retrospect, underwent unnecessary investigation as an inpatient in the cardiac ward. Experience gained from this case led to more appropriate consultation and management of the second patient.