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Showing posts from September, 2013

Troponins and MI meds

causes of a raised troponin:  Myocardial infarction Massive pulmonary embolism - leads to increased work of the right ventricles which damage cardiac muscles releasing troponin Chronic kidney disease (especially in later stages, although they may also have concurrent acute coronary syndrome - look for an increase from baseline)  Myocarditis  Sepsis/other critically ill (increased work of the heart leading to myocyte damage)  Aortic dissection severe tachycardia/bradycardia Stroke or subarachnoid haemorrhage Medical treatment for patients with acute coronary syndromes on presenting (before PCI) :  M orphine O xygen N itrates A spirin C lopidigrel Medicines after an MI A torvastatin B- blocker C heck all else