On Wednesday 19 July 2006 02:26, Duncan Guy wrote: > Non STEMI is a non ST elevation myocardial infarction. This includes > the spectrum from chest pain with a troponin rise and normal ecg through > to ecg changes other than ST elevation (with chest pain and troponin > ris). Hence it replaces the old term subendocardial MI. Nothing wrong with the term which describes the pathology rather than the secondary effects on biochemistry and electrical conductivity.
> Final confusion - beware cases of "Tropinitis" This is a non official > term for people who come to the doctor or A/E with totally non cardiac > symptoms and the word troponin is added to their biochem. Elevation of > troponin can occur with no cardiac cause - especially seen in people > with renal impairment and sepsis. However - tropinitis is a diagnosis > made with the retrospectoscope after cardiac disease is excluded. > there are a number of benign causes of troponin rise eg marathon running and the spread of another term represents again the problem with persons who never enquire into how-and-why something happens but whinge that there is no perfect path test for a coronary occlusion. Liz -- BOFH excuse #330: quantum decoherence _______________________________________________ Gpcg_talk mailing list [email protected] http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk
