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Clinics and Practice
Volume 8
Issue 3
10.4081/cp.2018.1073
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Clinics and Practice is published by MDPI from Volume 11 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Case Report

Elevated Troponin and Left Bundle Branch Block in the Setting of Suspected Septicemia and Demand Ischemia: To Treat or Not to Treat

by
Munish Sharma
1,*,
Rubinder Toor
2 and
Koroush Khalighi
3
1
Department of Internal Medicine, Easton Hospital, Easton, PA, USA
2
Department of MPH@GW, George Washington University, Milken Institute School of Public Health, Washington DC, USA
3
Department of Cardiology, Director of Electrophysiology Lab, Easton Hospital, PA, USA
*
Author to whom correspondence should be addressed.
Clin. Pract. 2018, 8(3), 1073; https://doi.org/10.4081/cp.2018.1073
Submission received: 31 March 2018 / Revised: 31 March 2018 / Accepted: 2 July 2018 / Published: 10 July 2018

Abstract

Elevated troponin and atypical chest pain in the setting of septicemia and Type II Non ST elevation myocardial infarction is frequently encountered. These cases are not necessarily scheduled for emergent cardiac catheterization. High index of clinical suspicion and continuous in-patient cardiac monitoring with serial trending of cardiac enzymes are important in such cases. Subsequent sudden development of electrocardiogram changes requires prompt investigation with emergent coronary catheterization. These types of cases may be missed especially in females who present with atypical chest pain and in patients with Left bundle branch block.
Keywords: Myocardial infarction; troponin elevation; left bundle branch block; cardiac enzymes Myocardial infarction; troponin elevation; left bundle branch block; cardiac enzymes

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MDPI and ACS Style

Sharma, M.; Toor, R.; Khalighi, K. Elevated Troponin and Left Bundle Branch Block in the Setting of Suspected Septicemia and Demand Ischemia: To Treat or Not to Treat. Clin. Pract. 2018, 8, 1073. https://doi.org/10.4081/cp.2018.1073

AMA Style

Sharma M, Toor R, Khalighi K. Elevated Troponin and Left Bundle Branch Block in the Setting of Suspected Septicemia and Demand Ischemia: To Treat or Not to Treat. Clinics and Practice. 2018; 8(3):1073. https://doi.org/10.4081/cp.2018.1073

Chicago/Turabian Style

Sharma, Munish, Rubinder Toor, and Koroush Khalighi. 2018. "Elevated Troponin and Left Bundle Branch Block in the Setting of Suspected Septicemia and Demand Ischemia: To Treat or Not to Treat" Clinics and Practice 8, no. 3: 1073. https://doi.org/10.4081/cp.2018.1073

APA Style

Sharma, M., Toor, R., & Khalighi, K. (2018). Elevated Troponin and Left Bundle Branch Block in the Setting of Suspected Septicemia and Demand Ischemia: To Treat or Not to Treat. Clinics and Practice, 8(3), 1073. https://doi.org/10.4081/cp.2018.1073

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