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BET 2: SHOULD WE BE MEASURING TROPONINS IN PATIENTS WITH ACUTE PERICARDITIS?
  1. Rick Body, Specialist Registrar in Emergency Medicine,
  2. Craig Ferguson, Specialist Registrar in Emergency Medicine
  1. Manchester Royal Infirmary, Manchester, UK

    https://doi.org/10.1136/emj.2008.063438

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      Report by Rick Body, Specialist Registrar in Emergency Medicine

      Checked by Craig Ferguson, Specialist Registrar in Emergency Medicine

      Institution: Manchester Royal Infirmary, Manchester, UK

      THREE-PART QUESTION

      In [stable adult patients with acute pericarditis] does [measurement of cardiac troponins] enable [accurate prediction of complications and facilitate hospital discharge]?

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      Table 1 Relevant papers

      CLINICAL SCENARIO

      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 …

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