Can troponin-I be used as an independent predictor of cardiac dysfunction after supraventricular tachycardia in children with structural normal heart?

Introduction. Elevated cardiac troponin gives excellent accuracy in the identification of myocardial damage in children, but it can also be elevated in a series of other diseases. Case report. We presented two children thirteen years of age with a high serum level of troponin-I after an acute episod...

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Main Authors: Simović Aleksandra M., Tanasković-Nestorović Jelena M., Knežević Sanja M., Vuletić Biljana P., Stojković Anđelka K., Jeremić Dejan M., Jovanović Milan, Vulović Maja
Format: Article
Language:English
Published: Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade 2019-01-01
Series:Vojnosanitetski Pregled
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Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2019/0042-84501700058S.pdf
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Summary:Introduction. Elevated cardiac troponin gives excellent accuracy in the identification of myocardial damage in children, but it can also be elevated in a series of other diseases. Case report. We presented two children thirteen years of age with a high serum level of troponin-I after an acute episode of supraventricular tachycardia. We analyzed troponin- I levels in correlation with the maximum heart rate, duration of tachycardia and systolic left ventricular function (ejection fraction and fractional shortening). Conclusion. Abnormal troponin level can be seen in children with sustained supraventricular tachycardia and normal heart. Caution is advised in diagnosing cardiac dysfunction in children with supraventricular tachycardia and elevated troponin levels.
ISSN:0042-8450
2406-0720