Abstract
Summary We report the case of a 76-year-old woman with palpitations and chest discomfort, who presented with elevated concentrations of cardiac biomarkers (Troponin T and creatine kinase CK) but no ST elevation. A coronary angiogram showed no evidence of obstructive coronary artery disease, an echocardiography was normal. Myocarditis was suspected, and treatment with a non-steroidal anti-inflammatory drug was initiated. After three as well as after six months cardiac bio markers continued to be elevated; a repeat echocardiography remained normal without signs of regional wall motion abnormalities. Given the clinical course as well as the unchanged echocardiogram a non-cardiac cause of the elevated cardiac biomarkers appeared most likely .T roponin-I was taken and turned out negative. Hence, the elevated cardiac Troponin T and CK were unrelated to myocardial ischaemia, but instead were due to a rheumatic disease.
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