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(see diagnosis of acute myocardial infarction, section on 'definitions'.) however, troponin is not specific for acute thrombotic occlusion of a coronary artery, the most common precursor to acute myocardial infarction. But if your heart muscle is damaged, troponin leaks into your bloodstream, and your troponin blood levels will rise. Cardiac troponin (ctn) testing is an essential component of the diagnostic workup and management of acute coronary syndromes (acs)
Chest pain is usually the major symptom of atherosclerotic heart disease Normally, troponin levels in blood are so low that only the most sensitive types of tests can measure them Troponin should only be obtained if there is genuine concern for myocardial ischemia based on history and ekg
Ekg is a good initial test for ischemia because minor, nonspecific abnormalities won't trigger a huge ischemia evaluation.
What is a troponin test A troponin test looks for the protein troponin (there are two forms related to your heart, troponin i and troponin t) in your blood Normally, troponin stays inside your heart muscle's cells, but damage to those cells — like the kind of damage from a heart attack — causes troponin to leak into your blood Higher levels of troponin in your blood also mean more.
Differential diagnosis unstable angina myocardial injury/ troponin leak tachyarrhythmia, severe hypertension, marathon running, stimulant use, chf exacerbation, hypotension, lack of clearance from renal failure, other Troponin abnormality is set at the 99th percentile in the healthy population, as the tests become more and more sensitive, the absolute cutoff value for abnormal has become lower and lower and the test has become less specific for myocardial infarction A troponin test measures the level of troponin in a sample of your blood Troponin is a protein that's found in the cells of your heart muscle
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