Acute Coronary Syndrome in the Context of Normal Cardiac Troponin Level- A Case Report

Authors

  • Tarekul Islam Bangladesh Medical University, Dhaka - 1000, Bangladesh.
  • Mohammed Rifat Hasan Antor Bangladesh Medical University, Dhaka - 1000, Bangladesh.
  • Shafiqul Alam Bangladesh Medical University, Dhaka - 1000, Bangladesh.
  • Kh Qumruzzaman Bangladesh Medical University, Dhaka - 1000, Bangladesh.
  • Ahmed Saiful Bari Bangladesh Medical University, Dhaka - 1000, Bangladesh.
  • Abu Sadique Abdullah Bangladesh Medical University, Dhaka - 1000, Bangladesh.
  • DMMF Osmany Bangladesh Medical University, Dhaka - 1000, Bangladesh.
  • Mohammad Safiuddin Bangladesh Medical University, Dhaka - 1000, Bangladesh.

DOI:

https://doi.org/10.3329/uhj.v21i1.84437

Keywords:

Acute Coronary Syndromr, Myocardial injury, Troponin I

Abstract

Acute coronary syndrome (ACS), counted globally as the leading cause of mortality in recent times. Typical clinical presentation of ACS is due to a mismatch between the supply and demand of oxygen (O2) which leads to cardiac ischemia and necrosis. Troponin I, A serum biomarker of myocardial injury has a 99% sensitivity rate in identifying the myocardial damage, and very few instances may deviate from this norm. We report a rare case of ACS where repeated testing of troponin levels returned negative results, even after tests conducted at three different laboratories.

University Heart Journal 2025; 21(1): 53-57

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Published

2025-11-23

How to Cite

Islam, T., Antor, M. R. H., Alam, S., Qumruzzaman, K., Bari, A. S., Abdullah, A. S., … Safiuddin, M. (2025). Acute Coronary Syndrome in the Context of Normal Cardiac Troponin Level- A Case Report. University Heart Journal, 21(1), 53–57. https://doi.org/10.3329/uhj.v21i1.84437

Issue

Vol. 21 No. 1 (2025)

Section

Case Reports

License

Authors are required to transfer their copyright to the University Heart Journal.