Saturday, May 26, 2012

Monday, January 31, 2011 Dominic asks

Q: What else besides a heart attack can cause elevated troponin levels?

My son is in the hospital undergoing observation for a 24 -48 hour period. After complaining of chest pains he was taken to the hospital where they did bloodwork and an ekg. Troponin levels were elevated and the ekg was inconclusive because they had nothing to compare it to. He is just getting over a bout with strep throat and took a Z-pak for that illness. Had the strep on Wednesday went back to school on Friday and was feeling better. Saturday night complained of chest pains. Sunday started having chest pains again and that is when we went to the hospital. He is in GREAT physical shape, an athlete who works out just about every day. I seriously doubt he had a heart attack although one of the doctors insisted that he did. A different cardiologist said she doesn't think he had a heart attack but can't deny the elevated troponin levels. Gave him an echo ekg and everything is normal and looks great. What else besides a heart attack can cause elevated troponin levels?
Answer This
Answers (1)
1/31/11 1:38pm

Hi Dominic,

 

Here are a few other conditions that can lead to elevated troponin levels:

 

Acute Pericarditis

Acute Pulmonary Embolism

Acute or Severe Heart Failure

Myocarditis

Sepsis/Critically Ill

Renal Failure

 

You also may want to consider the possibility of a false-positive troponin. A variety of factors can interfere with the test results, such as heterophilic antibodies, rheumatoid factor, fibrin clots, microparticles, and malfunction of the analyzer itself.

 

As an FYI, my source for the above information is a study conducted in 2004 by Chanwit Roongsritong, MD, Department of Internal Medicine, Texas Tech University Health Sciences Center.

 

All the best,l

Lisa Nelson RD

How to Lower Cholesterol in 8 Simple Steps

Reply
Answer This

Important:
We hope you find this general health information helpful. Please note however, that this Q&A is meant to support not replace the professional medical advice you receive from your doctor. No information in the Answers above is intended to diagnose or treat any condition. The views expressed in the Answers above belong to the individuals who posted them and do not necessarily reflect the views of Remedy Health Media. Remedy Health Media does not review or edit content posted by our community members, but reserves the right to remove any material it deems inappropriate.

Ask a Question

Get answers from our experts and community members.

Btn_ask_question_med
View all questions (6183) >
By Dominic— Last Modified: 01/31/11, First Published: 01/31/11