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Troponin for prediction of cardiovascular collapse in acute colchicine overdose
  1. C van Heyningen,
  2. I D Watson
  1. University Hospital Aintree, Liverpool, L9 7AL
  1. Correspondence to:
 Dr C van Heyningen
 University Hospital Aintree, Liverpool L9 7AL, UK; charles.vanheyningenaht.nwest.nhs.uk

Abstract

The use of colchicine, a treatment for acute gout and familial Mediterranean fever, is limited by its toxicity. A relatively low dose of colchicine may be fatal. After a colchicine overdose, monitoring should include 6–12 hourly serum troponin measurements. A rising troponin level predicts cardiovascular collapse and is an indication for more intensive management.

  • Tn I, troponin I
  • Cardiovascular collapse
  • colchicine overdose
  • troponin

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Footnotes

  • Competing interests: none declared