A member asked:

Can your troponin be elevated to 5.0 with microvascular disease with chest pain. also a normal cath.

5 doctors weighed in across 2 answers
Dr. Ajay Baddi answered

Specializes in Cardiovascular diseases

Muscle damage: Yes, troponin elevations simply reflect heart muscle damage. This classically happens after a heart attack but can also occur in any situation where the heart does not receive adequate oxygen supply such as blood loss, severe respiratory conditions, or extremely low blood pressure. Inflammation of the heart muscle or lining of the heart (myo/pericarditis) can also lead to elevated troponins.

Answered 12/28/2014

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Dr. Umesh Patel answered

Specializes in Preventive Medicine

Troponin leak: Vasospastic angina (coronary spasm) and coronary artery bridging (artery dives through heart muscle, thereby is compressed with each beat) may be associated with otherwise normal coronaries, especially in the presence of significant physical, emotional or chemical (drug abuse) stress.

Answered 9/10/2014

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