A member asked:

Can an abnormal ekg and elevated troponins indicate a possible mi event. also can pain in the arms, legs, hands and feet be tell tell signs of a slow but pending cardiac event about to happen? the pain value is between 7-9 thank you in advance for your t

A doctor has provided 1 answer

Yes, : Yes, very definitely. The troponin test is used to help diagnose a heart attack, to detect mild to severe heart injury, and to distinguish chest pain that may be due to other causes. An elevation in combination with certain changes in the electrocardiogram can be very specific for a heart attack. Troponin values can remain high for 1—2 weeks after a heart attack. Troponin may rise following strenuous exercise, although without signs and symptoms of heart disease, it is usually of no significance. Troponin levels may also be elevated with acute or chronic conditions such as myocarditis (inflammation of heart muscle), congestive heart failure, severe infections, kidney disease, and certain chronic inflammatory conditions of muscles and skin. Some pains in the arms and less likely in the legs may be indicative of a cardiac problem. Best to have this checked by your doctor as soon as you can.

Answered 10/3/2016

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