Elevated Cardiac Troponin T After an Epileptic Seizure: Is There a Concomitant AMI?
Published on: 2018-09-28
Cardiac troponins are sensitive and specific indicators of myocardial injury and are traditionally used to support the diagnosis of myocardial infarction. However, raised cardiac troponins may also be found in a wide range of non-cardiac medical conditions. Examples include sepsis, neurological conditions, renal failure, burns and certain inflammatory and infiltrative diseases. Emergency physicians should consider these alternative diagnostic possibilities when faced with elevated cardiac troponins in the absence of other clinical and laboratory evidence to support a myocardial infarction. We report a case of a 29-year-old male who presented to the emergency department after an epileptic fit with a significantly elevated serum cardiac troponin. The association between seizures and raised cardiac troponins must be taken into account by emergency physicians to avoid misdiagnosing and over-investigating patients.