Serum cardiac troponin-1 and ST segment elevation in patients with acute pericarditis

ABSTRACT

This study was designed to assess myocardial lesion in idiopathic acute pericarditis. The troponine-I a sensitive and specific marker of myocardial injury was used to assess myocardial lesion in a idiopathic acute pericarditis. ST segment elevation in acute pericarditis also reflects associated superficial myocardial injury. The relationship of tropinine-I and ST segment elevation in idiopathic acute pericarditis was also established. Out of 60 patients selected cardiac troponine-I was detected in 30 patients and was beyond the 1.5 ng/ml threshold in 12 ST-segment elevation was observed in 93% of the patients with cardiac troponin-I levels more than 1.5 ng/ml. So pericardial associated minor myocardial injury may be picked up by troponine-I which is likely to be mixed by ST segment elevation to troponine-I is more specific and sensitive marker for detection of pericardial associated myocardial injury than ST segment elevation. The patients who have tropinine-I threshold more than 1.5 ng/ml were likely to have more recent infarction