Heart Failure, Neuropathy, and Spinal Stenosis

A 60-year-old patient with a history of lumbar spinal stenosis had 2 months of chest pain and shortness of breath with exertion and 3 months of toe numbness. Laboratory testing showed elevated levels of high-sensitivity troponin, brain-type natriuretic peptide, aspartate aminotransferase, and alanin...

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Bibliographic Details
Published in:	JAMA : the journal of the American Medical Association Vol. 330; no. 1; pp. 76 - 77
Main Authors:	Welleman, Omar A, Schrama, Yvonne C, Boiten, Henk-Jan
Format:	Journal Article
Language:	English
Published:	United States American Medical Association 03-07-2023
Subjects:	Alanine Alanine transaminase Ankle Aspartate aminotransferase Biomarkers Blood pressure Body weight loss Brain natriuretic peptide Chest Congestive heart failure Edema Emergency medical care Emergency medical services Heart Failure - etiology Heart Failure - therapy Heart rate Humans Laboratory tests Medical research Muscle strength Natriuretic Peptide, Brain Neuropathy Oxygen content Peripheral Nervous System Diseases - complications Plantar flexion Respiration Respiratory rate Sensitivity analysis Spinal stenosis Spinal Stenosis - complications Transaminases Troponin Weight loss
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Summary:	A 60-year-old patient with a history of lumbar spinal stenosis had 2 months of chest pain and shortness of breath with exertion and 3 months of toe numbness. Laboratory testing showed elevated levels of high-sensitivity troponin, brain-type natriuretic peptide, aspartate aminotransferase, and alanine aminotransferase; bone scintigraphy showed increased cardiac uptake. What is the diagnosis and what would you do next?
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0098-7484 1538-3598
DOI:	10.1001/jama.2023.8977