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    • 2017-present: American journal of hospital medicine
    • American journal of hospital medicine, volume 4, issue 2 (2020 April-June)
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    •   MOspace Home
    • University of Missouri-Columbia
    • School of Medicine (MU)
    • Department of Medicine (MU)
    • Division of Hospital Medicine (MU)
    • 2017-present: American journal of hospital medicine
    • American journal of hospital medicine, volume 4, issue 2 (2020 April-June)
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    Troponin-Positive Chest Pain with Unobstructed Coronary Arteries

    Padkins, Mitchell
    Issa, Meltiady
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    [PDF] FifthCaseReport3Myocarditis.pdf (311.2Kb)
    Date
    2020-04
    Format
    Article
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    Abstract
    We present a 29-year-old man who presented with crushing substernal chest pain with radiation to his jaw and associated diaphoresis. He was hemodynamically stable and electrocardiogram was unremarkable. Laboratory studies revealed initial high-sensitivity troponin of 1950 ng/L (reference: [less than]15 ng/L), 2-hour troponin 2165 ng/L, and 6-hour troponin 2413 ng/L. NT-pro-BNP was elevated at 1692 pg/mL (reference: [less than]51 pg/mL), and C-reactive protein was 50.9 mg/L (reference: [less than]8 mg/L). Transthoracic echocardiogram revealed an ejection fraction (EF) of 30[percent] with severe global left ventricular hypokinesia. Left heart catheterization revealed normal coronary arteries. Cardiac magnetic resonance imaging showed acute myocarditis. With aggressive diuresis and anti-inflammatory therapy for concomitant pericarditis, his symptoms improved. After one month of beta-blocker and angiotensin converting enzyme inhibitor therapy, his EF improved to 63[percent] with normal left ventricular function.
    URI
    https://doi.org/10.24150/ajhm/2020.016
    https://hdl.handle.net/10355/82559
    Part of
    Case Reports, Ask a Specialist, ID Corner, etc
    Part of
    American journal of hospital medicine, volume 4, issue 2 (2020 April-June)
    Citation
    Am J Hosp Med 2020 April;4(2):2020.016 https://doi.org/10.24150/ajhm/2020.016
    Rights
    OpenAccess.
    This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License.
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    • American journal of hospital medicine, volume 4, issue 2 (2020 April-June)

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