Spuriously Elevated Cardiac Troponin in the Setting of Atypical Chest Pain Presentation

Kamal M. Kassem, MD; Mahboob Ali, MD; Naseem Ghazanfari, MD; Mohamed Effat, MD

JACC: Case Reports (May 2020)

Spuriously Elevated Cardiac Troponin in the Setting of Atypical Chest Pain Presentation

Kamal M. Kassem, MD,
Mahboob Ali, MD,
Naseem Ghazanfari, MD,
Mohamed Effat, MD

Affiliations

Kamal M. Kassem, MD: Department of Internal Medicine, University of Cincinnati Medical Center, Cincinnati, Ohio; Address for correspondence: Dr. Kamal M. Kassem, Department of Internal Medicine, University of Cincinnati, 231 Albert Sabin Way, PO Box 670557, Cincinnati, Ohio 45267.
Mahboob Ali, MD: Division of Cardiovascular Health and Disease, Department of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio
Naseem Ghazanfari, MD: Division of Cardiovascular Health and Disease, Department of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio
Mohamed Effat, MD: Division of Cardiovascular Health and Disease, Department of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio

Journal volume & issue: Vol. 2, no. 5
pp. 790 – 795

Abstract

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A 47-year-old woman presented with atypical chest pain and a troponin level of 30.15 ng/dl. A detailed diagnostic work-up did not detect an acute myocardial infarction but revealed the presence of heterophile antibodies. Laboratory values need to be interpreted in the context of the clinical picture when test results do not correspond to clinical findings. (Level of Difficulty: Beginner.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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Abstract

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