🔍 Elevated but Innocent: Cracking the Troponin Code

from Dr RR Baliga's "Got Knowledge Doc" Podkast · host MasterMedFacts LLC

🔬🫀 When Troponin Lies: A Case of Macrotroponin 🧪❗ We've all seen elevated troponins trigger cath lab calls—but what if the numbers don't add up? This fascinating case from EHJ Case Reports reveals how an IgG–troponin T complex (macrotroponin) mimicked an acute coronary syndrome in a patient with a structurally normal heart and clean coronaries. 📈 Persistently high cTnT 🧪 Normal cTnI 🧫 Confirmed macrotroponin via SDS-PAGE + immunoblotting 🤝 Biochemistry + Clinical Team = Diagnostic Clarity This is your reminder: always match the lab to the patient, not the other way around. 🎧 Catch our new podcast episode: "Troponin Trickery: When the Lab Lies, Not the Heart" #Cardiology #LabMedicine #Troponin #Macrotroponin #Diagnostics #ClinicalPearls #CardiacBiomarkers #Podcast #MedEd #EHJCaseReports

Episode metadata supplied by the publisher feed · Published Jul 22, 2025

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This episode was published on July 22, 2025.

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