PMID- 37431350
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230718
IS  - 2168-8184 (Print)
IS  - 2168-8184 (Electronic)
IS  - 2168-8184 (Linking)
VI  - 15
IP  - 6
DP  - 2023 Jun
TI  - Early Major Adverse Cardiovascular Event in a Patient With Chronic Kidney 
      Disease: A Case Report.
PG  - e40161
LID - 10.7759/cureus.40161 [doi]
LID - e40161
AB  - Acute coronary syndrome (ACS) is common in people with chronic kidney disease 
      (CKD) and is linked to poor short- and long-term outcomes. The diagnosis of 
      myocardial infarction is challenging in patients with CKD as they have baseline 
      elevated troponin levels. To date, there are no widely accepted guidelines to 
      suggest what is a clinically significant change in troponin levels in these 
      patients. We report a case of a patient with CKD who presented with chest pain to 
      the emergency department (ED). His baseline troponin was high; however, the delta 
      change was 11%. He was discharged from the ED for outpatient follow-up, but 
      within 36 hours, he had significant ST elevation myocardial infarction (STEMI) 
      with unstable hemodynamics and acute heart failure requiring urgent intubation 
      and coronary revascularization. This case highlights the gap in clinical 
      knowledge and practice in a relatively not uncommon presentation in emergency 
      departments.
CI  - Copyright (c) 2023, Saleh Juman Alseiari et al.
FAU - Saleh Juman Alseiari, Saleh
AU  - Saleh Juman Alseiari S
AD  - Department of Emergency Medicine, College of Medicine and Health Sciences, United 
      Arab Emirates University, Al Ain, ARE.
FAU - Fadil Ali Al Thehli, Reem
AU  - Fadil Ali Al Thehli R
AD  - Department of Emergency Medicine, College of Medicine and Health Sciences, United 
      Arab Emirates University, Al Ain, ARE.
FAU - Farooq, Munawar
AU  - Farooq M
AD  - Department of Internal Medicine, Emergency Medicine Section, College of Medicine 
      and Health Sciences, United Arab Emirates University, Al Ain, ARE.
LA  - eng
PT  - Case Reports
DEP - 20230608
PL  - United States
TA  - Cureus
JT  - Cureus
JID - 101596737
PMC - PMC10329737
OTO - NOTNLM
OT  - acs
OT  - acute coronary syndromes
OT  - acute heart failure
OT  - cardiac biomarkers
OT  - chest pain
OT  - chronic kidney disease
OT  - mace
OT  - major adverse cardiovascular event
OT  - myocardial infarction
OT  - troponin rise
COIS- The authors have declared that no competing interests exist.
EDAT- 2023/07/11 06:42
MHDA- 2023/07/11 06:43
PMCR- 2023/06/08
CRDT- 2023/07/11 03:35
PHST- 2023/06/08 00:00 [accepted]
PHST- 2023/07/11 06:43 [medline]
PHST- 2023/07/11 06:42 [pubmed]
PHST- 2023/07/11 03:35 [entrez]
PHST- 2023/06/08 00:00 [pmc-release]
AID - 10.7759/cureus.40161 [doi]
PST - epublish
SO  - Cureus. 2023 Jun 8;15(6):e40161. doi: 10.7759/cureus.40161. eCollection 2023 Jun.