ArticleJACC. Case reports2026
Marked Troponin Elevation Mimicking Acute Coronary Syndrome After Pulsed-Field Ablation for Atrial Fibrillation.
Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Beyond Troponin: Interpreting Myocardial Injury After Pulsed-Field Ablation.JACC. Case reports · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPulsed-field ablation (PFA) is an emerging nonthermal modality for atrial fibrillation. Although troponin elevation is common after ablation, markedly elevated levels mimicking acute coronary syndrome (ACS) are uncommon. CASE PRESENTATION: A 77-year-old woman presented with acute chest pain within 24 hours after undergoing PFA for atrial fibrillation. High-sensitivity troponin I was markedly elevated at 12,221 ng/L. Electrocardiography showed no ischemic changes, and imaging revealed no obstructive coronary artery disease. Serial troponin levels demonstrated a steady decline. DISCUSSION: Marked troponin elevation may occur after PFA and can mimic ACS. Clinical interpretation should integrate symptoms, electrocardiographic findings, imaging, and biomarker trends rather than relying solely on troponin magnitude. TAKE-HOME MESSAGE: Markedly elevated troponin levels after PFA may exceed commonly reported ranges and mimic ACS; however, diagnosis should rely on clinical context, electrocardiographic findings, imaging, and biomarker trends rather than on troponin magnitude alone.
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