Excellent discussion. Regarding wether or not to get a Troponin in evaluation of these patients I always do for one reason. To help diagnose myocarditis which was eluded to in the discussion. However the most important reason is that NSAID's are CONTRAINDICATED in myocarditis. If you missed a case of myocarditis and wrongly treated presumed pericarditis with NSAID'S that would be bad.
To join the conversation, you need to subscribe.
Sign up today for full access to all episodes and to join the conversation.
James C. - July 7, 2015 4:52 AM
How are you guys use the high sensitivity ESR? Is it like a d dimer, if negative, it rules out pericarditis?
James M., D.O. - August 10, 2015 10:28 AM
Excellent discussion. Regarding wether or not to get a Troponin in evaluation of these patients I always do for one reason.
To help diagnose myocarditis which was eluded to in the discussion. However the most important reason is that NSAID's are CONTRAINDICATED in myocarditis. If you missed a case of myocarditis and wrongly treated presumed pericarditis with NSAID'S that would be bad.