Duncan Guy wrote:

Tropinitis is not a real term - its just a slang term. Marathon runners have troponin rises, probably because of coronary ischaemia secondary to lactic acidosis and extreme metabolic demand. This is why they have abnormal hearts. Similarly people with pulmonary embolism have troponin rises - due to acute right heart strain and myocardial enzyme release.

it's up in those with significant chronic renal failure too, because they clear it poorly


There is no perfect biochem test and probably never will be. If you are thinking of ordering a troponin on someone with chest pain they should be treated as if they have coronary ischaemia until proven otherwise

deja vu for that thread perhaps

ash
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