Troponin in Stroke

Do you measure cTnI or cTnT routinely in your stroke patients? We do neither, yet we do obtain a  CRP or Na nearly daily. Is there any rationale behind this? Should you get troponins on your right sided insular lesions? And what if it is raised – do you have to order a cardiac workup? Do you give ASS and Clop to all these patients as for NSTEMIs?

Muddy waters… We are going to tread carefully, distinguishing between pre- and peristroke troponins, their role im identifying CHF and AF patients, the prestroke MI problem, the concept of neurocardiogenic disturbance (analogous to SAB) and what Tako-Tsubo has to do with it, and finally, we discuss the risk of peristroke MI and how to separate this entity from the rest, if possible.

Advertisements

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s