19 results for “troponin elevation”
69y · Male·Intracerebral haemorrhage due to sepsis (Staphylococcus aureus bacteraemia), com…
…tion and atrial fibrillation presented to a rural hospital with fever, lethargy, tachycardia and elevated troponin. The treating doctor diagnosed NSTEMI based on the elevated troponin and cardiac history, administering a…
76y · Male·advanced atherosclerotic and hypertensive cardiovascular disease
…ths prior, cardioversion 6 days prior) presented to ED with shortness of breath and ECG changes. Elevated troponin (59) was not recognised as high-risk; repeat troponin was not obtained after haemolysis. A fifth-year med…
43y · Male·The combined effects of subacute myocardial injury and methadone toxicity
…myocardial injury and methadone toxicity. He had been admitted to hospital in November 2021 with elevated troponin levels after injecting diverted methadone, with three possible causes identified: vaccination-related myo…
59y · Male·Aspiration pneumonia and non-ST elevation myocardial infarction in a man with in…
…an with intellectual disability, autism, and visual impairment died from aspiration pneumonia and non-ST elevation myocardial infarction complicated by COVID-19. He presented to the ED febrile with elevated troponin and…
62y · Male·cerebral haemorrhage (intracerebral bleed, large lobar within left cerebral hemi…
…n caused by an evolving cerebral haemorrhage. He was initially misdiagnosed with NSTEMI based on elevated troponin and atrial fibrillation, leading to initiation of antiplatelet and anticoagulation therapy. While the cor…
Male·acute myocardial infarction due to coronary artery disease (all four); specific …
…moking, hypertension, family history); failure to follow diagnostic protocols requiring immediate ECG and troponin testing; misinterpretation of ECG changes or failure to seek specialist ECG interpretation despite availa…
67y · Male·Ischaemic heart disease; coronary artery atherosclerosis (stented)
…ischaemic-sounding chest pain. Despite multiple episodes of chest pain during admission, initial ECGs and troponins were normal. Following a telephone consultation with cardiology, he was discharged with a plan for outpa…
35y · Female·coronary artery dissection
…, presented to Wallaroo Hospital with chest pain, arm weakness, and diaphoresis. Ambulance noted elevated troponin (121) and activated the chest pain protocol. However, Dr M. discharged her after 1.5 hours, attributing s…
44y · Female·Ischemic heart disease due to complete blockage of left anterior descending coro…
A 44-year-old woman presented with acute chest pain and troponin elevation. Coronary angiography revealed only a 30% non-obstructive lesion in the left anterior descendin…
46y · Male·Haemopericardium complicating aortic dissection
… with acute chest pain radiating to jaw and back. ECG showed changes initially interpreted as NSTEMI with troponin elevation. A cardiology registrar reinterpreted this as cardiomyopathy and attributed ongoing pain to opi…
76y · Male·combined effects of acute myocardial infarction and urosepsis
…ion. Despite initial improvement, he deteriorated with sepsis, acute kidney injury, pulmonary oedema, and troponin >1000. He suffered two cardiac arrests on 9-10 February; CPR was unsuccessful. The coroner found no conce…
64y · Male·acute myocardial infarction in association with coronary artery atherosclerosis
…nted to Royal Perth Hospital on 15 December 2023 with an infected foot wound and acute psychosis. Initial troponin elevation was determined to be a false positive (assay interference). He was admitted to the Mental Healt…
90y · Male·acute myocardial infarction on a background of ischaemic heart disease, pneumoni…
…. A myocardial infarction on 13 October was followed by palliative care. Despite chest pain, dyspnoea and troponin elevation on 19 October, he died the next day. The case highlights the importance of recognising end-of-l…
92y · Female·community acquired pneumonia on a background of end stage chronic obstructive ai…
…on declined with suspected seizure, respiratory deterioration, pulmonary oedema, atrial fibrillation, and troponin elevation suggesting acute coronary event. The coroner found the mental health detention was necessary an…
72y · Male·hypovolemic shock due to haemoperitoneum following surgical repair of an abdomin…
…eratively he presented with hypotension, bradycardia and sweating. ECG changes were misinterpreted as ST-elevation myocardial infarction, leading to inappropriate diagnosis of cardiogenic shock and treatment with antico…
75y · Male·Multi-organ failure secondary to cardiogenic shock and anterior myocardial infar…
…t diagnosis was delayed by approximately 10 hours. The first hospital ECG at 6:47am showed diagnostic ST elevation but was not recognised by ED or cardiology staff. Critical failures included: not carefully comparing se…
81y · Female·Cardiac tamponade secondary to dissection of ascending aorta
…n radiating to the jaw. Despite appropriate initial assessment and ruling out acute coronary syndrome via troponin and ECG, she was discharged with undiagnosed chest pain after a 'chest pain pathway' without further inve…
41y · Male·Myocardial infarction secondary to coronary atherosclerosis, resulting in sudden…
A 41-year-old man with multiple cardiac risk factors (hypertension, hyperlipidemia, obesity, obstructive sleep apnoea, family history) presented with chest pain and was diagnosed with acute coronary syndrome. Coronary an…
55y · Female·Cardiac tamponade due to haemopericardium due to acute ruptured myocardial infar…
A 55-year-old woman with extensive coronary artery disease presented for elective stent placement to her left anterior descending artery. During the procedure, a small diagonal branch vessel was occluded—a recognised com…
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