Troponins and MI meds
causes of a raised troponin:
Morphine
- 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) :
Morphine
Oxygen
Nitrates
Aspirin
Clopidigrel
Medicines after an MI
Atorvastatin
B- blocker
Check all else
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