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Non-Coronarogenic Causes of Increased Cardiac Troponins in Clinical Practiceстатья
- Авторы: Chaulin AM, Karslyan LS, Duplyakov DV
- Журнал: Journal of Clinical Practice
- Том: 10
- Номер: 4
- Год издания: 2019
- Первая страница: 81
- Последняя страница: 93
- DOI: 10.17816/clinpract16309
- Аннотация: Cardiospecific isoforms of troponins are the most sensitive and specific biomarkers for the diagnosis of myocardial infarction. However, though elevated troponin levels indicate myocardial damage, they do not determine the cause and mechanism of the damage. With the new highly sensitive methods, very minor damages of the heart muscle can be detected. Myocardial damage can occur in many non-coronaro-genic diseases. In this review, we discuss the mechanisms of elevation, the diagnostic value of cardiac troponins in the renal failure, tachyarrhythmias, endocarditis, myocarditis, pericarditis, sepsis, neuro-genic pathologies (stroke), pulmonary embolism. In addition, we pay attention to the main reasons for a false-positive increase of the concentration of cardiac troponins: heterophilic antibodies, rheumatoid factor, alkaline phosphatase, cross-reactions with skeletal muscle troponins.
- Добавил в систему: Чаулин Алексей Михайлович