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Doctor insights on: Causes Of Elevated Troponin Levels

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Troponin (Definition)

Troponin is an enzyme found in heart muscle, which is involved in the muscle fiber's ability to contract. It is extremely specific to heart muscle, and hence if levels are elevated in the blood, it points very confidently toward heart muscle damage as a cause of patient's symptoms. In fact, it is the test that is used to definitively ...Read more


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What causes heart damage or elevated troponin levels?

Few things: Troponin is a marker of several heart disorder including heart attack. Other cardiac conditions such as inflammation of the heart muscle, inflammation of the sac around the heart (pericardoum) also can cause troponin release in the blood. Troponin is increased in cardiac contusion, defibrillation of the heart and some cardiac procedures. It is positive up to 10-14 days after the injury. ...Read more

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What would cause high troponin levels?

What would cause high troponin levels?

Damaged heart muscle: If heart muscle cells r damaged, troponin will leak into the blood + levels will rise. However, the muscle damage may be caused by several diseases, not the least of which is coronary artery disease (c article via link below 4 details) http://www. Ncbi. Nlm. Nih. Gov/pmc/articles/pmc1860726/
bottom line? Troponin levels r a sensitive + specific indicator of heart muscle damage from any cause. Dr mike. ...Read more

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Can you die from elevated troponin levels?

Can you die from elevated troponin levels?

No: An elevated level in the blood may indicate heart damage. The amount of elevation is proportional to the amount of damage. Thus a massive heart attack would result in high level of troponin elevation and would suggest more severe heart damage. ...Read more

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Are elevated troponin levels related to pneumonia?

Are elevated troponin levels related to pneumonia?

Yes and no: Troponins as you likely know by asking this question is an enzyme liberated into the bloodstream by damaged myocardial cells. While pneumonia and a myocardial event are technically separate entities. They can be linked. Patients with pneumococcal pneumonia are at substantial risk for a concurrent acute cardiac event, such as mi, serious arrhythmia, or new or worsening chf. ...Read more

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What do you recommend if I have elevated troponin levels and pneumonia?

Expert consultation: I assume you were/are hospitalized for this. The pneumonia should be treated. The pneumonia could have been severe enough to cause heart strain leading to an elevated troponin. I also assume an EKG was done. You are young to have heart disease. Discuss with your doctor the need for further work up including echocardiogram, lipid panel. Possible referral to cardiology for heart catheterization ...Read more

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How to treat elevated troponin levels and pneumonia?

How to treat elevated troponin levels and pneumonia?

Troponin: Not sure why a troponin was drawn in a pneumonia patient. If the patient has no heart attack symptoms, would just treat the pneumonia and evaluate the cardiac status after the pneumonia resolves. If heart attack symptoms, might be heart attack and heart failure not pneumonia. Should ask the doc what's the story. ...Read more

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Could elevated troponin levels be related to thyroid or infertility problems?

Could elevated troponin levels be related to thyroid or infertility problems?

Very rarely,: Patients diagnosed with amyloidosis could have elevated troponin and thyroid dysfunction simultaneously... But this is rare...http://www. Ncbi. Nlm. Nih. Gov/pmc/articles/pmc1860726/. ...Read more

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If a patient has congestive heart failure, will there be elevated Troponin levels?

If a patient has congestive heart failure, will there be elevated Troponin levels?

Well...: Troponin levels if they are elevated mean there is damage, acute to the heart muscle. In heart failure that is not controlled this is more likely.
Please consult your cardiologist and talk about it ...Read more

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Can troponin levels elevate due to stress, anxiety and such and cause chest pain but will not cause a heart attack?

Can troponin levels elevate due to stress, anxiety and such and cause chest pain but will not cause a heart attack?

No: Stress and anxiety do not typically raise troponin levels. Medical conditions such as severe high blood pressure, congestive heart failure, renal failure are associated with elevated levels of troponin. Elevated troponin is not the cause of heart attack, but can result from one. ...Read more

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What is the definition or description of: troponin levels?

What is the definition or description of: troponin levels?

Heart muscle enzyme: Troponin is a heart enzyme that is released in the blood when the heart is under strain. Elevated levels of this enzyme in the setting of chest pain and ekg changes usually mean that an individual is having a blockage in the blood vessels that supply blood to the heart. ...Read more

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I have had some lab work to find out my troponin levels and they were. 13 and the other one is. 18 is this normal or are these values high?

I have had some lab work to find out my troponin levels and they were. 13 and the other one is. 18 is this normal or are these values high?

That depends: On the type of troponin level tested: trop-i or trop-t. Generally anything 0-0.1micrograms/l is within normal range for trop-t, trop I is <10 micrograms/l. It also depends highly on the labs "normal ranges" as these differ from lab to lab. Always good to stick with the same lab and methodology to follow trends in labs. If at the er for chest pain to rule out mi, they would look at ekg's too. ...Read more

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Would troponin levels and ECG be abnormal during myocarditis???

Would troponin levels and ECG be abnormal during myocarditis???

Myocarditis.: We would expect troponin and ECG abnormalities with myocarditis. Inflammation of the myocardium should cause the release of troponin. ...Read more

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If someone dies of heart failure, ANY TYPE of heart failure, will there be a rise in troponin levels?

If someone dies of heart failure, ANY TYPE of heart failure, will there be a rise in troponin levels?

Troponin: Troponin I is a marker for acute ischemia of heart. However we also see it in patients with kidney failure. So it will not be prudent to say that if Troponin I are elevated that specific for heart failure. As heart failure can be due ischemic or non ischemic causes. ...Read more

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Sometimes in ER my troponin levels are high sometimes not but they say there is no heart prob. I never know when to go to er?

Sometimes in ER my troponin levels are high sometimes not but they say there is no heart prob. I never know when to go to er?

Troponin levels: Troponin levels may be elevated in normal individuals. As your heart is ok I wouldn't worry. ...Read more

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What are blood enzyme and troponin levels before, after, during a heart attack?

What are blood enzyme and troponin levels before, after, during a heart attack?

Normal, then elevated: Cardiac markers including ckmb and troponins measure damage to the heart muscle which occurs in a heart attack - the damaged/dying muscle will leak these into the serum which can be measured as blood tests. They start off "negative" - in the reference range - and then 4-6 hrs after the start of the heart attack they begin to rise - will eventually peak and over several days return to normal. ...Read more

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Sometimes I go to ER with chest pains and my troponin levels are up sometimes not but they always say my heart is fine?

Sometimes I go to ER with chest pains and my troponin levels are up sometimes not but they always say my heart is fine?

Unclear: I would be concerned about troponin levels going up with chest pain (how high?) but if you already had a cardiac cath, and if you were told your coronary arteries are normal that is very good news. Even without blockages, some patients have issues with cocaine, arterial spasms, clots, uncontrolled hypertension, or other conditions but only your doc can give you a diagnosis from a complete history. ...Read more

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My father was hospitalized a week and a half ago for troponin levels being 004. He has a doctors appointment on Monday, if it's the same will they keep him? (His stress test was perfect and his blood work was healthy as well)

My father was hospitalized a week and a half ago for troponin levels being 004. He has a doctors appointment on Monday, if it's the same will they keep him? (His stress test was perfect and his blood work was healthy as well)

Elevated troponin: His slight elevation in troponin maybe from just a heart strain. Hopefully you meant a troponin of 0.04, and not 4. Regardless, you mentioned he was kept in the hospital for further eval, such as a stress test. The Hospital wouldn't have discharged him if he wasn't in stable condition (as in, he wasn't having a heart attack). His upcoming appointment is likely just a hospital follow up (routine). ...Read more

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Patient had sepsis. Patient died... if multiple troponin levels say normal, then death cannot be from acute HF and conjestve HF, Am I correct?

No: Troponin is a marker of acute death of heart muscle cells. A person may be in heart failure due to prior damage to the heart and still have normal troponin levels. ...Read more

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Have hcm recently had SVT pulse over 220 - troponin levels were 70 on admission -1700 after 30 minutes - what are risks heart failure?

Have hcm recently had SVT pulse over 220 - troponin levels were 70 on admission -1700 after 30 minutes - what are risks heart failure?

Diastolic/systolic: Hcm course can be benign but can cause syncope, arrhythmias (like svt), ischemia, heart failure and brain stroke. Can progress to dilated cardiomyopathy and heart failure in 5 to 10% of patients as a result of fibrosis a ventricular remodeling. Atrial fibrillation, 10-20% patients, can precipitate heart failure and stroke. Focus management by close follow up with cardiology. ...Read more

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Can a severe panic attack elevate troponin levels (0.12) in an otherwise healthy 34 year old male with no personal/family history of heart disease?

Can a severe panic attack elevate troponin levels (0.12) in an otherwise healthy 34 year old male with no personal/family history of heart disease?

Yes, it can.: Hi, thanks for the question. There are many different situations that can place enough stress on the heart to elevate troponins in the blood, including panic attacks and emotional stress. I would suggest you visit your doctor for an EKG and to schedule a stress test to help evaluate the vessels that supply your heart with blood. And if you experience chest pain, don't hesitate to go to your ER! ...Read more

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While in a hospital for something, I began to have chest pain. My heart rate was 130 ECG which showed sinus tachycardia. Over next 3 days troponin levels went from <0.01, 0.02, <0.04. Did I have a mi?

While in a hospital for something, I began to have chest pain. My heart rate was 130 ECG which showed sinus tachycardia. Over next 3 days troponin levels went from <0.01, 0.02, <0.04. Did I have a mi?

No: Not by enzymatic criteria. Sinus tachycardia is indicative that you were distressed - either by pain, anxiety, or both. It is the reaction, not the cause of your pain. Your doctors, possibly with additional testing, can decide if you have acute coronary syndrome or non-cardiac chest pain. ...Read more

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My father had chest pain 2 days ago Troponin was elevated but no MI. Levels are still not in range. What can cause this?!

My father had chest pain 2 days ago Troponin was elevated but no MI. Levels are still not in range. What can cause this?!

See below: Http://www. Nlm. Nih. Gov/medlineplus/ency/article/007452.htm
The website given above provides a list of the conditions, other than MI that are associated with elevated troponin. Your father should discuss matter with his doctor and follow the advice. ...Read more

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What would cause a LOW troponin level of 0.015?

What would cause a LOW troponin level of 0.015?

HEART OF THE MATTER!: TROPONIN is a chemical found in some tissues, but most commonly used because it is unique to cardiac muscle. When ELEVATED it can indicate a recent injury to the heart. LOW TROPONIN is a GOOD THING! ...Read more

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Can pericarditis cause elevated myoglobin but normal troponin?

Unlikely: If the source of myoglobin is cardiac, troponin will be positive as well. If myoglobin was elevated with a negative troponin, other possible sources of myoglobin should be considered. Discuss with your doctor. ...Read more

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Elevated troponin level with no evidence or link to heart damage. What could it be?

Elevated troponin level with no evidence or link to heart damage. What could it be?

Troponin: There is laboratory error with every test. Other things may leak small amounts of troponin with no other sign of cardiac damage, . ...Read more

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Causes of significantly elevated myoglobin but normal troponin and normal ck. This was during a severe sle flare. Can just lupus cause high myoglobin?

Causes of significantly elevated myoglobin but normal troponin and normal ck. This was during a severe sle flare. Can just lupus cause high myoglobin?

Yes: Only myoglobin would be related to muscle. With lupus, possibly inflammatory. It could be associated with elevated ck but not always, depending on extent of disease. ...Read more

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Will the damaged heart muscle be rebuild / restored automatically when the elevated (3.50ng) troponin I value to the normal level (0.27ng)?

Will the damaged heart muscle be rebuild / restored automatically when the elevated (3.50ng) troponin I value to the normal level (0.27ng)?

No.: No, resumption of normal troponin levels does not mean the heart tissue is restored.
If the heart muscle is damaged during a heart attack, scar tissue will form from the damaged tissue. Medications such as ace inhibitors can help the remodeling/healing process of the remaining tissue after a heart attack which can be beneficial. The scar tissue remains. ...Read more

Dr. John Landi
34 Doctors shared insights

Troponin Levels (Definition)

Troponin is a heart enzyme that is released in the blood when the heart is under strain. Elevated levels of this enzyme in the setting of chest pain and ekg changes usually mean that an individual is having a blockage in the blood vessels that supply ...Read more