June 4, 2012

SPAM the Troponin

Significant troponin elevation in MI is when it’s level is above the 99th percentile of normal upper limit. There are few causes of elevated troponin which i summarized with the mnemonic SPAM

S: Severe Chronic Kidney Disease
P: Pulmonary Embolism
A: Aortic dissection (especially involving right coronary artery causing secondary MI.
M: Myopericarditis

Elevated troponin in pulmonary embolus patient associated with higher mortality rate. Severe CKD cause chronic mild to moderate troponin elevation.

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Ya Allah! Permudahkanlah aku untuk menuntut ilmuMu, memahaminya, mengingati dan menyebarkannya. Berkatilah ilmu itu dan tambahkanlah ia. Amin.