Rising Troponin Postpartum in a Patient with Severe Pre-Eclampsia : A Clinical Conundrum.

Victoria Wallis1, Beth Laverick2, Mark Andrews2, Gemma Partridge2, Jeremy Corfe2

1West Suffolk Hospital, 2Norfolk and Norwich University Hospital

 

Background

Cardiovascular manifestations from pre-eclampsia are attributable to vascular endothelial activation and vasospasm resulting in hypertension and multi-organ hypoperfusion. 

Elevated troponin, especially alongside severe pre-eclampsia, presents a clinical conundrum due to complexities differentiating between a wide differential diagnosis in pregnancy. We demonstrate the cruciality of a multidisciplinary approach for optimal patient management.