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A 55-year-old female asked:

I had a heart attack last week. the ecg was clear. angiogram showed healthy arteries with no blockages. bloodtest=0.40 of troponin.what caused it?

2 doctor answers4 doctors weighed in
Dr. Thomas Person
Thoracic Surgery 22 years experience
Hard to say: Many things (including renal failure, pulmonary embolus, etc) can cause a mild elevation of troponin. If an ekg and a coronary angiogram were negative i doubt that the elevated troponin was caused by a heart attack.
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Dr. Rick Koch
Cardiology 24 years experience
Takosubo ?: Could have been broken heart syndrome or apical ballooning which is a stress reaction that mimics heart attack. Great news on normal coronary arteries.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated May 14, 2015

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