Doctor insights on:
What Are Other Reasons Other Than Heart Attack For Increased Level Of Troponin
Any heart problem: Troponin is an enzyme released by damaged heart muscle. While the major cause is a heart attack, and large increases are usually due to this, almost any condition affecting the heart can cause small increases. Viral infections of the heart, pulmonary embolus or medial procedures such as angioplasty often result in increases of troponin. ...Read more
Myocardial Infarction means some of the heart muscle dies because of insufficient oxygen supply. Most often this occurs because the coronary artery is blocked by plaque & clot. Other causes include tears in the artery wall, extremely high oxygen demand (eg, rapid arrhythmia, heart valve disorder, or severe systemic illness.) Prompt treatment can minimize heart damage & ...Read more
Varies: This can vary depending on the particular assay... There is a troponin t and troponin i. .. Also this could vary and is calibrated for lab to lab. ...Read more
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
Can troponin levels elevate due to stress, anxiety and such and cause chest pain but will not cause a heart attack?
Why was my younger brother rushed to hospital for emergent heart catheterization after severe crushing chest pain. Didn't have heart attack BUT his troponin level was high? Got discharged 2 days later.
My understanding is: That if he had these symptoms and his serial troponins were high, then he by definition DID have a heart attack, despitewhat the catheterization showed. This would be spasm of the coronaries, not blockage. It is called Prinzmetal's angina and can cause a heart attack with clean coronaries ...Read more
Thrombosis rca at p/mortem. No heart attack. Deceased died from sepsis complications. How possible to hav thrombosis? No H/Attack. Troponin level normal?
DIC? Hypotensive?: Hi. Sepsis is awful as you know from this case. Sepsis is accompanied by hypotension (low blood pressure), poor organ perfusion, and often disseminated intravascular coagulation (DIC = initiation of clotting cascade). While sepsis is the killer, it's not hard to picture the low blood pressure, poor perfusion, and activated clotting pathway causing a thrombosis in the RCA right at time of death. ...Read more
Muscle damage: When heart muscle is injured troponin leaks into the blood where it can be measured. Elevated levels typically indicate some damage to the heart. There can be false positive readings especially in patients with renal failure. ...Read more
It depends: In the proper setting with chest pain & abnormal electrocardiogram an elevated troponin (highly sensitive version) can indicate heart damage. However there are other possible explanations for an elevated level. These include congestive heart failure, pulmonary embolism (blood clot in the lungs) or kidney failure. The pattern of the elevation over time is also useful. ...Read more
Is one troponin t test within 7 hours of symptoms enough to rule out heart attack. It as neg but I'm still having symptoms. I read a series sb done.
NoEasyAnswerToThis: There are no hard & fast rules. Each case must be evaluated on its own. Yes, in certain circumstances one troponin 7 hours after onset of symptoms can rule out some heart damage;but not necessarily a'heart attack, ' per se. You can have a bad headache without having a stroke, right? Also depends on your personal story, family history, lifestyle, diet, activities, stress factors, smoking, drugs. Find a good doc ...Read more
ARE there any blood tests such as troponin that remain elevated weeks to months or even years after a heart attack??
In general there are: No chemical markers that remain elevated more than about two weeks after an infarct. EKG changes do progress over a longer time course. There can be elevations of some markers that are unrelated to ongoing myocardial damage and can be confusing to less experienced health care providers. For instance, troponin can be elevated from CLL or pneumonia which are unrelated to the heart. ...Read more
Went to er for heart attack symptoms. Did a troponin t test. It was normal. They didn't do a series of troponin tests. Safe to say I didn't have a mi?
MI: ER evaluation of 'MI' symptoms includes clinical history, exam and appropriate lab tests. If there was low probability of MI given the situation, multiple troponins would not necessarily be needed ...Read more
BNP 148 to 305. Troponin 1 - 2.004 to 1.184. Does this mean patient had a mild heart attack? Patient has 3 tripple vessel disease.
Lab tests: Making statements purely on the basis of lab tests is fraught with risk. You should discuss this patient with the patient's Doc who has the complete picture to get a more informed answer from having more information about the patient. ...Read more
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?
Does having a troponin 1 of <0.02 and a normal ekg rule out a heart attack? Cardiac cath clean in 2011
Heart attack?: A normal electrocardiogram along with two or three negative troponin values should suffice to rule out a heart attack. This does not rule out the presence of heart disease, necessarily. But in a moment of chest pain, this combination should suffice to rule out a heart attack. ...Read more
Chest pain, SOB, nausea, no appetite over a month. Been to ER many times. EKG and troponin always fine. Heart attack ruled out? What else could it be?
Yes, but not:
Heart disease. From the data you provided, myocardial infarction, (heart attack) can be ruled out, but not other heart diseases. Get clearance from your doctor to exercise and do it. Also - Have a diet rich in fresh vegetables, fruits, whole grains, low fat milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex. ...Read more
ECG 12 leads: Normal sinus rhythm, Possible Left atrial enlargement, Inferior infarct, ACUTE MI / STEMI, Abnormal ECG When compared with ECG of 30-MAR-2015 ST elevation now present in Inferior leads. BUT troponins are ok. Is it heart attack?
I went to ER for chest pain, racing heart, dizzy. EKG / troponin / chest xray negative heart attack. Still hurts 5 days later. Possibly still heart?
No appetite, SOB, PVCs, rapid HR. EKG, troponin, d dimer, and chest xray good. Echo mon, tilt test in 2 wks. Need stress test? Heart attack ruled out?
Yes. Anxiety: Sounds like your heart is fine but you may be stressed out over something. Calm down and do a thorough self analysis to unravel whatever is making you tic! ...Read more
My triponin levels were at 5.0 in the ER and remained up overnite. No damage shown on ekg, is a mild heart attack possible? Clogged secondary arterie
Heart attack: Heart attacks generally occur as a result of plaque rupture at sites of lipid (cholesterol) build up in the lining of heart arteries (intima). Stents are generally placed at sites of severe narrowing. Stents are placed to relieve angina that can be a result of such severe blockages. Studies have not demonstrated that stents prevent heart attacks. ...Read more
What are the chances for a teenager to get a heart attack, stroke, or infarct? And reason of what could cause them. Other than drugs
Due to a heart attack in 2005 I had a stent to my LAD. I also have diffuse atheromatous disease to my RCA. So, what is the reason of Ramipril 1.25.
Heart attack in 2005: Ramipril (& its family, the ACE inhibitors) have been shown to reduce the risk of heart attacks & vascular events (strokes) in pts who have had prior vascular events. Your greatest risk factor for another stroke or future heart attack is the fact that you (claim you) had one in 2005. To reduce future risk, you should take Ramipril & also aspirin, statin (RCA disease), & beta-blocker (an "-olol"). ...Read more
Can a massive heart attack and CHF cause asthma to be worse? Never had a problem before but after this asthma seems to come more often. Any reason?
Left hand pain: In a 20 year old the pain is most likely from the left hand or wrist, low probability of heart related. ...Read more
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