A member asked:

With diarrhea, fever, chest pain, ekg ok, echo ok, prescription ok, troponin 300..myocarditis confirmed?

A doctor has provided 1 answer
Dr. Nathan Almeida answered

Specializes in Internal Medicine - Cardiology

No: With massive troponin elevation (300!), you have to rule out coronary occlusion (thrombosis/dissection/embolism) - need coronary angiography to rule that out. Cardiac MRI is sometimes suggestive of myocarditis, but most cardiologists would still need a coronary angiogram to rule out coronary abnormalities.

Answered 6/10/2014

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