Clinical Simulation: Importance to the Internal Medicine Educational Mission

详细信息	查看全文 | 推荐本文 |

• 作者：Paul E. Ogden ; Lauren S. Cobbs ; Martha R. Howell ; Stephen J.B. Sibbitt ; Donald J. DiPette
• 关键词：Troponin ; preeclampsia
• 刊名：The American Journal of Medicine
• 出版年：2007
• 期刊代码：6_00029343
• 类别：med
• 出版时间：September 2007
• 卷：120
• 期：9
• 页码：820-824
• 文件大小：93 K

摘要

Preeclampsia involves a diffuse inflammatory state and elevated levels of troponins in patients with preeclampsia have been anecdotally reported. It is, however, unknown whether it is attributable to the preeclampsia.

Objective

We sought to determine the troponin I levels at the time of delivery in pregnant women with and without preeclampsia.

Methods

Plasma samples were obtained at the time of delivery and serum troponin I was measured by ELISA method.

Results

Thirty-nine women were included (20 with preeclampsia and 19 without). Mean troponin I level was 0.008 ng/mL in patients with preeclampsia and 0.01 ng/mL in controls (P =.59). The highest troponin I level was 0.04 ng/mL for both patients with and without preeclampsia.

Conclusions

Preeclampsia was not associated with a rise in troponin I levels in our study. Patients with preeclampsia and elevated troponin levels should have further cardiac investigations.