BEST EVIDENCE TOPIC REPORTS
BET 2: SHOULD WE BE MEASURING TROPONINS IN PATIENTS WITH ACUTE PERICARDITIS?
Manchester Royal Infirmary, Manchester, UK
Accepted 13 June 2008
| The first 150 words of the full text of this article appear below. |
Report by Rick Body, Specialist Registrar in Emergency Medicine
Checked by Craig Ferguson, Specialist Registrar in Emergency Medicine
Institution: Manchester Royal Infirmary, Manchester, UK
In [stable adult patients with acute pericarditis] does [measurement of cardiac troponins] enable [accurate prediction of complications and facilitate hospital discharge]?
A 25-year-old man presents to the emergency department (ED) with central sharp chest pain that is eased by sitting forward. ECG shows widespread saddle-shaped ST elevation consistent with acute pericarditis.
The patient is clinically stable with normal heart rate and blood pressure and no signs of left ventricular failure. You wonder whether it will be worthwhile sending blood for troponin I (TnI) to rule out significant myocardial damage in relation to myopericarditis. As such you wonder whether a normal TnI will reassure you that the patient is at low risk of complications and suitable for outpatient treatment. Similarly, you wonder whether a raised
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