Cor Vasa 2015, 57(4):e320-e322 | DOI: 10.1016/j.crvasa.2014.12.006

Can amyotrophic lateral sclerosis chronically elevate troponin T?

Lukáš Macha,b, Tomáš Konečnýa,b,*, Allan S. Jaffea,c, Eric J. Sorensond, Guy S. Reedera
a Division of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota, USA
b Mezinárodní centrum klinického výzkumu, Fakultní nemocnice u sv. Anny v Brně, Brno, Česká republika
c Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA
d Neuromuscular Division, Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA

A 57-year-old woman with progressive amyotrophic lateral sclerosis (ALS) presented repeatedly with atypical chest pain over a period of 4 years. Her initially normal cardiac troponin T (cTnT) value became progressively elevated during subsequent visits in the absence of clinically overt heart disease, and in the absence of alternative explanations for cTnT elevation. In this one patient there appeared to be a relationship between her rising levels of cTnT and increasing severity of ALS.

Keywords: Amyotrophic lateral sclerosis; Troponin; Troponin T

Received: November 29, 2014; Revised: December 15, 2014; Accepted: December 16, 2014; Published: August 1, 2015  Show citation

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Mach L, Konečný T, Jaffe AS, Sorenson EJ, Reeder GS. Can amyotrophic lateral sclerosis chronically elevate troponin T? Cor Vasa. 2015;57(4):e320-322. doi: 10.1016/j.crvasa.2014.12.006.
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References

  1. A.S. Jaffe, Elevations in cardiac troponin measurements: false false-positives: the real truth, Cardiovascular Toxicology 1 (2001) 87-92. Go to original source...
  2. R. Aggarwal, D. Lebiedz-Odrobina, A. Sinha, et al., Serum cardiac troponin T, but not troponin I, is elevated in idiopathic inflammatory myopathies, Journal of Rheumatology 36 (2009) 2711-2714. Go to original source... Go to PubMed...
  3. T.G. Von Lueder, M.N. Melsom, D. Atar, S. Agewall, Amyotrophic lateral sclerosis (ALS), a novel rare cause of elevated plasma troponin T levels, Clinical Laboratory 57 (2011) 615-618.
  4. D. Hof, H.H. Jung, K.E. Bloch, T. Troponin, elevation in amyotrophic lateral sclerosis without cardiac damage, Amyotrophic Lateral Sclerosis & Frontotemporal Degeneration 14 (2013) 75-77. Go to original source... Go to PubMed...
  5. K. Thygesen, J. Mair, H. Katus, et al., Recommendations for the use of cardiac troponin measurement in acute cardiac care, European Heart Journal 31 (2010) 2197-2204. Go to original source... Go to PubMed...
  6. S. Pavlovic, Z. Stevic, B. Milovanovic, et al., Impairment of cardiac autonomic control in patients with amyotrophic lateral sclerosis, Amyotrophic Lateral Sclerosis 11 (2010) 272-276. Go to original source... Go to PubMed...
  7. A.S. Jaffe, V.C. Vasile, M. Milone, et al., Diseased skeletal muscle: a noncardiac source of increased circulating concentrations of cardiac troponin T, Journal of the American College of Cardiology 58 (2011) 1819-1824. Go to original source... Go to PubMed...




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