Case Study: Mr. Smith was admitted to the telemetry unit
Case Study: Mr. Smith was admitte d to the telemetry unit for cardiac monitoring after an episode of chest pain. His cardiac enzymes (CK, troponin-T, and troponin-I) were slightly elevate d and the ECG showe d elevation in the ST segment
Case Study: Mr. Smith was admitted to the telemetry unit for cardiac monitoring after an episode of chest pain.
Please read the case study below and answer/discuss the questions that follow it This requires the application of your knowledge of abbreviations.
Case Study
Mr. Smith was admitte d to the telemetry unit for cardiac monitoring after an episode of chest pain.
His cardiac enzymes (CK, troponin-T, and troponin-I) were slightly elevate d and the ECG showe d elevation in the ST segment.
An angiogram reveals plaque blocking the LAD. PCI with DES is recommende d.
1. Firstly, what did the ECG reveal?
2. Secondly, what is the diagnosis for this patient?
3. Lastly, what treatment is recommende d?
More Details;
Definition and Efficacy
In addition, cardiac markers are use d in the diagnosis and risk stratification of patients with chest pain and suspecte d acute coronary syndrome (ACS).
The cardiac troponins, in particular, have become the cardiac markers of choice for patients with ACS.
Indeed, cardiac troponin is central to the definition of acute myocardial infarction (MI) in the consensus guidelines from the European Society of Cardiology (ESC) and the American College of Cardiology (ACC):
Additionally, these guidelines recommend that cardiac biomarkers should be in measure at presentation in patients with suspecte d MI,
and that the only biomarker that is recommende d to be in use for the diagnosis of acute MI at this time is cardiac troponin due to its superior sensitivity and accuracy.
In conclusion, patients with elevated troponin levels but negative creatine kinase-MB (CK-MB) values who were formerly diagnosed with unstable angina or minor myocardial injury are now reclassified as non–ST-segment elevation MI (NSTEMI), even in the absence of diagnostic electrocardiogram (ECG) changes