Abstract
AbstractAn old fat lady came to emergency for headache and dyspnoea without discrepancies on electrocardiogram (ECG) but left cardiac failure on cardiac echography and with a moderate arterial hypertension. Biochemistry analyses showed a normal troponin and an increased BNP explaining physical examination. Five months later, the health of this lady was clinically aggravated with an acute coronary syndrome difficulty diagnosed, but troponin was highly positive such as BNP even more elevated, and renal function was impaired. This person was set in cardiac intensive care unit for myocardial infarction with accurate therapy. A regular BNP dosage should have certainly prevent this bad evolution, even when this dosage is not yet recommended. A regular measure of creatinine should also have prevent the bad evolution of renal function.
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