{"title":"ECG Changes and High Sensitivity Troponin I in Acute Cholecystitis.","authors":"Pooja Kumar, Pedro Colio","doi":"10.1097/TME.0000000000000566","DOIUrl":null,"url":null,"abstract":"<p><p>Abdominal pain is a common chief complaint in Emergency departments (EDs) nationwide which presents a wide array of potential etiologies including acute coronary syndrome ( Daniels et al., 2020 ). High-sensitivity troponin I (hs-TnI), a biomarker traditionally linked to cardiac injury, can also be elevated in noncardiac conditions, such as acute cholecystitis. This case study underscores the advantages of hs-TnI over conventional troponin tests, specifically among patients with abnormal ECGs. This case also highlights the hs-TnI superior sensitivity in detecting or excluding subtle myocardial injuries that may arise from conditions like acute cholecystitis ( Babic et al., 2012 ). By integrating hs-TnI into the diagnostic workup, advanced practice registered nurses can more effectively stratify patient risk, thereby enhancing the quality of early diagnosis and management of acute cholecystitis.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"47 2","pages":"129-136"},"PeriodicalIF":0.8000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Advanced Emergency Nursing Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/TME.0000000000000566","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/4/16 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Abdominal pain is a common chief complaint in Emergency departments (EDs) nationwide which presents a wide array of potential etiologies including acute coronary syndrome ( Daniels et al., 2020 ). High-sensitivity troponin I (hs-TnI), a biomarker traditionally linked to cardiac injury, can also be elevated in noncardiac conditions, such as acute cholecystitis. This case study underscores the advantages of hs-TnI over conventional troponin tests, specifically among patients with abnormal ECGs. This case also highlights the hs-TnI superior sensitivity in detecting or excluding subtle myocardial injuries that may arise from conditions like acute cholecystitis ( Babic et al., 2012 ). By integrating hs-TnI into the diagnostic workup, advanced practice registered nurses can more effectively stratify patient risk, thereby enhancing the quality of early diagnosis and management of acute cholecystitis.
腹痛是全国急诊科常见的主诉，其潜在病因包括急性冠状动脉综合征（Daniels et al., 2020）。高敏感性肌钙蛋白I （hs-TnI）是一种传统上与心脏损伤相关的生物标志物，在急性胆囊炎等非心脏疾病中也可能升高。本病例研究强调了hs-TnI优于常规肌钙蛋白检测的优势，特别是在心电图异常的患者中。该病例还强调了hs-TnI在检测或排除急性胆囊炎等疾病可能引起的细微心肌损伤方面的优越敏感性（Babic等，2012）。通过将hs-TnI纳入诊断检查，高级执业注册护士可以更有效地对患者风险进行分层，从而提高急性胆囊炎的早期诊断和管理质量。
期刊介绍：
Advanced Emergency Nursing Journal is a peer-reviewed journal designed to meet the needs of advanced practice clinicians, clinical nurse specialists, nurse practitioners, healthcare professionals, and clinical and academic educators in emergency nursing. Articles contain evidence-based material that can be applied to daily practice. Continuing Education opportunities are available in each issue. Feature articles focus on in-depth, state of the science content relevant to advanced practice nurses and experienced clinicians in emergency care. Ongoing Departments Include: Cases of Note Radiology Rounds Research to Practice Applied Pharmacology
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