UMEM Educational Pearls

Category: Cardiology

Title: reasons for acute elevated troponins

Keywords: troponin, acute myocardial infarction (PubMed Search)

Posted: 11/20/2011 by Amal Mattu, MD (Updated: 1/26/2022)
Click here to contact Amal Mattu, MD

Reasons for acutely elevated troponins
ACS
Acute heart failure
PE
Stroke
Aortic dissection
Tachyarrhythmias
Shock
Sepsis
Perimyocarditis
Endocarditis
Tako-tsubo cardiomyopathy
Cardiac contusion
Strenuous excercise
Sympathomimetic drugs
Chemotherapy

I guess that means that your history, physical, and clinical judgment still supersede the lab test.

References

Agewall S, Giannitsis E, Jernberg T, et al. Troponin elevation in coronary vs. non-coronary disease. Eur Heart J 2011;32:404-411.