CASE 662: MYOCARDIAL INFARCTUS with ST non Elevated, Dr PHAN THANH HAI, Dr BUI BINH HUAN, Dr VU BICH DOAN TRANG , MEDIC MEDICAL CENTER, HCMC, VIETNAM

 A 68 year-old HTA male patient with right chest pain for 8 hours while holding some water buckets.

Troponin I: 648.6 ng/L, CPK MP: 13.32 ng/mL are elevated, but EKG and cardiosonography have no clue of an acute myocardial infarctus.

About 50% patients of unstable angina  [UA] and NSTE MI have no change of EKG in early time while troponin-I elevated during the first 24 hours.

Based on elevated troponin-I and CPK, the patient is transferred to an emergency hospital after a diagnosis of myocardial infarctus is made.