I’ve been on call this week and it’s been rather busy, particularly this weekend, and particularly with patients presenting to hospital with chest pain. Such patients usually have a blood test called a ‘troponin’, which is a blood enzyme which gets elevated in the context of any heart damage or inflammation. As such, we use it to help make a diagnosis of a heart attack (as opposed to angina where there is no evidence of heart damage).
However, not all ‘heart attacks’ are the same…
One young man in his 30s I was asked to consult on presented a bit of a diagnostic conundrum. His symptoms of chest pain were not quite typical of a heart attack, and whilst I do sometimes see…
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