What is it about?
Pacing induced ECG changes coupled with elevated troponins led to a diagnosis of false diagnosis of MI which was proven by coronary angiography.
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Why is it important?
Physician needs to be aware of phenomenon of pacing induced ST-T changes and causes of falsely elevated troponins (troponinemia).
Perspectives
The case was great learning experience as both ECG and Cardiac enzymes were abnormal and yet a diagnosis of MI was not established.
Dr. Akshyaya Pradhan
King George's Medical University
Read the Original
This page is a summary of: “Electrocardiogram Changes with Elevated Troponins Mimicking MI: All that Glitters is not Gold”, JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, January 2018, JCDR Research and Publications,
DOI: 10.7860/jcdr/2018/33903.11622.
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