RT Journal Article
SR Electronic
T1 Evaluating troponin elevation in patients with chronic kidney disease and suspected acute coronary syndrome
JF Cleveland Clinic Journal of Medicine
JO Cleve Clin J Med
FD Cleveland Clinic
SP 483
OP 489
DO 10.3949/ccjm.90a.23012
VO 90
IS 8
A1 Braghieri, Lorenzo
A1 Badwan, Osamah Z.
A1 Skoza, Warren
A1 Fares, Maan
A1 Menon, Venu
YR 2023
UL http://www.ccjm.org/content/90/8/483.abstract
AB Many patients with chronic kidney disease have chronically elevated cardiac troponin levels, and if they present with symptoms suggesting an acute coronary syndrome, it is often difficult to determine if this is the correct diagnosis. This article briefly reviews the major challenges in diagnosing acute coronary syndrome in patients with chronic kidney disease, describes the mechanisms and prognostic significance of troponin elevation in chronic kidney disease, and provides a diagnostic algorithm to risk-stratify patients with chronic kidney disease who have troponin elevation and suspected acute coronary syndrome.