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Doctor insights on: What Causes Heart Damage Or Elevated Troponin Levels

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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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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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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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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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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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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

Dr. Andrew Seibert
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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