A Case of Type II Achalasia Presenting With Markedly Elevated Troponins

Achalasia is an esophageal motility disorder that presents with dysphagia to solids and liquids and regurgitation of undigested food. Cardiac troponin (cTn) is a sensitive biomarker for myocardial injury, and elevated levels suggest an increased risk of mortality from acute coronary syndrome (ACS)....

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Published inCurēus (Palo Alto, CA) Vol. 15; no. 1; p. e33408
Main Authors Malik, Talia F, Khan, Daniel, Shah, Pallavi, Moon, Andrew M
Format Journal Article
LanguageEnglish
Published United States Cureus Inc 05.01.2023
Cureus
Subjects
Abdomen
Acute coronary syndromes
Cardiology
Case reports
Dysphagia
Electrocardiography
Esophageal diseases
Esophagus
Food
Gastroenterology
Heart attacks
Internal Medicine
Ischemia
Medical imaging
Medicine
Mortality
Patients
Tomography
United States > US
North Chicago Illinois
acute coronary syndrome
megaesophagus
myocardial injury
achalasia
troponin
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Summary:Achalasia is an esophageal motility disorder that presents with dysphagia to solids and liquids and regurgitation of undigested food. Cardiac troponin (cTn) is a sensitive biomarker for myocardial injury, and elevated levels suggest an increased risk of mortality from acute coronary syndrome (ACS). Non-cardiac gastrointestinal (GI) causes of troponin elevation are rare and have generally been described in cases of critical illness (e.g., significant gastrointestinal bleeding (GIB) or acute liver failure). We report a rare case of type II achalasia presenting with markedly elevated troponins. This case illustrates an important GI-related mimic of ACS that should be considered by frontline providers and gastroenterologists.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.33408