High-Sensitivity Cardiac Troponin T Elevation and Paroxysmal Supraventricular Tachycardia. Is it Always Acute Coronary Syndrome?

被引：0

作者：

Micciche, Serena ^{[1
]}

Pelaggi, Giuseppe ^{[1
]}

Lo Nigro, Maria Claudia ^{[1
]}

Celeste, Simone ^{[1
]}

Moncada, Alice ^{[1
]}

La Cognata, Olga ^{[1
]}

Lo Savio, Armando ^{[1
]}

Bonanno, Salvatore ^{[1
]}

Bellocchi, Paolo ^{[1
]}

Agnelli, Graziella ^{[1
]}

Curro, Alessio ^{[2
]}

机构：

[1] Univ Messina, Dept Clin & Expt Med, Messina, Italy

[2] IRCCS PO Piemonte, Cardiac Intens Care, Viale Europa 45, I-98123 Messina, Italy

来源：

COR ET VASA | 2025年 / 67卷 / 01期

关键词：

Acute coronary syndrome; Chest pain; High-sensitive cardiac troponin; Myocardial ischemia; Paroxysmal supraventricular; tachycardia; ACUTE MYOCARDIAL-INFARCTION; ISCHEMIC-HEART-DISEASE; ARTERY-DISEASE; I LEVELS; ANGIOGRAPHY; MANAGEMENT; RELEASE;

D O I：

10.33678/cor.2024.063

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: Paroxysmal supraventricular tachycardia (PSVT) is a common arrhythmia often presenting with symptoms mimicking acute coronary syndrome (ACS). Case presentation: We present a case of a 58-year-old man with PSVT accompanied by chest pain and elevated high-sensitivity troponin (hs-Tn) levels. Coronary angiography revealed slow coronary flow in absence of obstructive disease. The patient's symptoms resolved spontaneously, and echocardiographic findings normalized upon discharge. Conclusions: This case underscores the diagnostic challenge of individuating ACS and highlights the transient troponin elevation seen in PSVT, potentially due to myocardial ischemia secondary to rapid heart rates. Clinical correlation and adjunctive diagnostic modalities are crucial in guiding management decisions, especially in the absence of significant coronary artery disease.

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页码：77 / 81

页数：5

相关论文

共 53 条

[1] Prognostic Value of High Sensitive Troponin T in Patients with Chronic Ischemic Heart Disease Undergoing Percutaneous Coronary Intervention [J].

Aktas, Halil ;

Kaypakli, Onur ;

Ozmen, Caglar ;

Gul, Murat ;

Yildirim, Oguz ;

Inci, Sinan ;

Deniz, Ali ;

Demirtas, Mustafa .

COR ET VASA, 2021, 63 (01) :32-39

[2] CHA2DS2-VASc and HAS-BLED scores are not associated with cardiac defibrillators therapies [J].

Alsancak, Yakup ;

Sari, Hasan ;

Gurbuz, Ahmet Seyfeddin ;

Sertdemir, Ahmet Lutfi ;

Aribas, Alpay ;

Soylu, Ahmet .

COR ET VASA, 2021, 63 (03) :304-311

[3] Troponin Elevation in Supraventricular Tachycardia: Primary Dependence on Heart Rate [J].

Ben Yedder, Nairn ;

Roux, Jean Francois ;

Paredes, Felix Ayala .

CANADIAN JOURNAL OF CARDIOLOGY, 2011, 27 (01) :105-109

[4] 2019 ESC Guidelines for the management of patients with supraventricular tachycardia The Task Force for the management of patients with supraventricular tachycardia of the European Society of Cardiology (ESC): Developed in collaboration with the Association for European Paediatric and Congenital Cardiology (AEPC) [J].

Brugada, Josep ;

Katritsis, Demosthenes G. ;

Arbelo, Elena ;

Arribas, Fernando ;

Bax, Jeroen J. ;

Blomstrom-Lundqvist, Carina ;

Calkins, Hugh ;

Corrado, Domenico ;

Deftereos, Spyridon G. ;

Diller, Gerhard-Paul ;

Gomez-Doblas, Juan J. ;

Gorenek, Bulent ;

Grace, Andrew ;

Ho, Siew Yen ;

Kaski, Juan-Carlos ;

Kuck, Karl-Heinz ;

Lambiase, Pier David ;

Sacher, Frederic ;

Sarquella-Brugada, Georgia ;

Suwalski, Piotr ;

Zaza, Antonio .

EUROPEAN HEART JOURNAL, 2020, 41 (05) :655-720

[5] Serum troponin testing in patients with paroxysmal supraventricular tachycardia: outcome after ED care [J].

Carlberg, David J. ;

Tsuchitani, Sarah ;

Barlotta, Kevin S. ;

Brady, William J. .

AMERICAN JOURNAL OF EMERGENCY MEDICINE, 2011, 29 (05) :545-548

[6] Effect of sacubitril/valsartan on cardiac remodeling compared with other renin-angiotensin system inhibitors: a difference-in-difference analysis of propensity-score matched samples [J].

Carluccio, Erberto ;

Dini, Frank L. ;

Correale, Michele ;

Dattilo, Giuseppe ;

Ciccarelli, Michele ;

Vannuccini, Francesca ;

Sforna, Stefano ;

Pacileo, Giuseppe ;

Masarone, Daniele ;

Scelsi, Laura ;

Ghio, Stefano ;

Tocchetti, Carlo Gabriele ;

Mercurio, Valentina ;

Brunetti, Natale Daniele ;

Nodari, Savina ;

Ambrosio, Giuseppe ;

Palazzuoli, Alberto .

CLINICAL RESEARCH IN CARDIOLOGY, 2024, 113 (06) :856-865

[7] Effects of Sacubitril/Valsartan in Patients with High Arrhythmic Risk and an ICD: A Longitudinal Study [J].

Casale, Matteo ;

Correale, Michele ;

Laterra, Giulia ;

Vaccaro, Vittoria ;

Morabito, Claudia ;

Crea, Pasquale ;

Signorelli, Salvatore Santo ;

Katsiki, Niki ;

Luzza, Francesco ;

de Gregorio, Cesare ;

Dattilo, Giuseppe .

CLINICAL DRUG INVESTIGATION, 2021, 41 (02) :169-176

[8] Modern ideas about the mechanisms of cardiac troponin release and their diagnostic role [J].

Chaulin, Aleksey M. ;

Duplyakov, Dmitry, V .

COR ET VASA, 2022, 64 (06) :628-636

[9] Prognostic value of cardiac troponin in elderly patients with paroxysmal supraventricular tachycardia: A multicenter study [J].

Chen, Jyun-Long ;

Hsiao, Chien-Han ;

Yen, Chieh-Ching .

AMERICAN JOURNAL OF EMERGENCY MEDICINE, 2023, 69 :167-172

[10] Prognostic Significance of Cardiac Troponin I Levels in Hospitalized Patients Presenting With Supraventricular Tachycardia [J].

Chow, Grant V. ;

Hirsch, Glenn A. ;

Spragg, David D. ;

Cai, Jennifer X. ;

Cheng, Alan ;

Ziegelstein, Roy C. ;

Marine, Joseph E. .

MEDICINE, 2010, 89 (03) :141-148

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