Diagnostic Implications of an Elevated Troponin in the Emergency Department

<table class="table-group" id="tab1"><tr><td><table class="table"><tr><td class="thead-hr" colspan="2"><hr/></td></tr><tr class="thead"><td align="left">Type</td><td align="left">Definition</td></tr><tr><td class="thead-hr" colspan="2"><hr/></td></tr><tr><td align="left">I</td><td align="left">Infarction due to ischemia from a primary coronary event such as atherosclerotic plaque rupture and thrombus formation, arterial wall erosion, fissuring, or dissection</td></tr><tr><td align="center" colspan="2"><hr/></td></tr><tr><td align="left">II</td><td align="left">Infarction secondary to ischemia from either increased oxygen demand or decreased supply (coronary artery spasm, hypotension, hypertension, anemia, and dysrhythmia)</td></tr><tr><td align="center" colspan="2"><hr/></td></tr><tr><td align="left">III</td><td align="left">Sudden cardiac death/arrest with symptoms suggestive of STEMI or thrombus in a coronary artery found on angiography or autopsy</td></tr><tr><td align="center" colspan="2"><hr/></td></tr><tr><td align="left">IVa</td><td align="left">Infarction resulting from percutaneous coronary intervention (PCI)</td></tr><tr><td align="center" colspan="2"><hr/></td></tr><tr><td align="left">IVb</td><td align="left">Infarction from stent thrombosis</td></tr><tr><td align="center" colspan="2"><hr/></td></tr><tr><td align="left">V</td><td align="left">Infarction due to ischemia related to coronary artery bypass grafting</td></tr><tr class="table-tr"><td colspan="2"><hr class="tbody-hr"/></td></tr></table></td></tr></table>

Disease Markers

tab1

Table 1

Table 1: Diagnostic Implications of an Elevated Troponin in the Emergency Department 