Troponin

[Jinky07]

Hi I just receive a discharge letter from hospital and it says my troponin level was 48 anybody know what this means

[MichaelJH Heart Star]

Troponin is a protein which is a bio-marker that is used to distinguish between angina and heart attack at its most basic level. Post heart attack troponin levels rise. Whilst I have read about troponin unfortunately I have never seen anything indicating the significance of the level. Fingers crossed this level indicates angina. I am hoping somebody more knowledgeable on the subject than I will come along shortly.

[ntiday]

Hi I had an Nstemi back in April and my Troponin level was 368 and the doctors said they has seen it in the 1000’s

I believe they take the blood twice over a 4 hour period and if the level more than doubles it indicates a heart attack over Angina

I am not medically qualified just what I picked up whilst in hospital

[Jinky07 in reply to ntiday]

Hi yeah I think the 48 can be marked as 480 depending on the measure used

All very complicated this heart malarkey

[stevejb1810]

nbt.nhs.uk/sites/default/fi...

This is from the North Bristol NHS Trust. Its the only document I can find that gives any information on what specific levels of troponin actually mean. Its meant for health professional rather than patients.

[Jinky07 in reply to stevejb1810]

Thanks for this. Puts me in the red which was what in line with way hospital speaking.

[Emilee83]

I believe that anything over 25 is indicative of a heart attack .. my mum is a nurse so ill ask her but I think that's about right xx

[DavidKeith52]

Hi Jinky07, when I was blue lighted to hospital last year, I was told that a normal troponin level was around 50. If it rises to over 100, you are deemed to have had a heart attack. Mine was around 120, and they said it was a mild heart attack. On that basis, 48 sounds good to me.

[Jinky07 in reply to DavidKeith52]

When I went to a&e couple weeks ago after feeling not well my trop was 16 they said they would test again in 2 hours to see change it then went to 20 and that’s when they made decision to admit me incase I was about to have another episode.

I have heard different health board measures different ways.

[DavidKeith52 in reply to Jinky07]

You would think they would all sing from the same hymn sheet!

[bee2]

Did the discharge letter say you had an MI?

[Jinky07 in reply to bee2]

Yeah I had already been told that in the hospital just trying to get my head around everything

[Jinky07 in reply to bee2]

It also says I have unstable angina

[bee2]

My last troponin was 48 rising to 68. And was told NSTEMI not sure what the others were.

[Jinky07 in reply to bee2]

What’s nstemi

[Milkfairy Heart Star in reply to Jinky07]

Non ST elevation myocardial infarction, a type of Heart attack

[Marco2764]

Hi, I was being investigated for chest pains last December. I ended up ringing 999 after being woken with severe chest pain. On seeing a cardiologist in A&E he told me my troponin level was 48.( protein enzyme indicator). He said anything over a reading of 40 was abnormal and needed investigating, but he didn't think I'd had a heart attack. Admitted and monitored for 2 days then a angiogram showed I needed a stent which was done there and then.

I was surprised when my discharge letter said I had had a NSTEMI MI even though I was told at least 4 times in hospital that I hadn't had a heart attack.

[LesleyJ59]

I do wonder how they measure it, as I was told that a normal level us 20,and my level on admission to A&E was 200. If they had not done that test they could have sent me home with antacids. It was still deemed a mild HA as an angiogram revealed my arteries were fine.

[Milkfairy Heart Star]

There are several different troponin blood tests highsensitivity I or T

Women'slevels are usually lower

For all the fellow research geeks this is the latest definition of a heart attack below. Medicine is the art of the appropriate application of medical science with of course compassion.

academic.oup.com/eurheartj/...

[Nicky3]

Hi

I had a NSTEMI HA on admission it was 428 Trop T and rose to 620. My angio was also clear so at the time they thought possibly a clot. This was even though arteries clean and no need for stents. It took several admissions and months before I was diagnosed with Coronary Artery Spasm that must have caused the MI. You can have an MI with clear arteries a spasm that lasts long enough can cause heart damage.

Nicky

[Hidden]

Hi - above all else this indicates a problem with the discharge process and letter, especially if it was written specifically for you as a patient rather than a letter for you to take to your doctor to explain. Whenever I received this in Australia (and have several times) it listed my level at two points several hours apart (as indicated in one of the other replies) and what the acceptable levels were as a range so that I could see that they were within range. All of the other replies are useful but Id ask your doctor.

[Hidden]

the units vary for ng/l and ng/ml note litre and millilitre. 1000 ml in a l

SteveJB post for the NHS states units of a litre.

"Within the normal healthy population 99% of people will have a hs Troponin T <14ng/l"

by comparison my medical health insurance states units of ml

"Troponin T > 1.0 ng/ml"

so 14ng/l = 0.014ng/ml normal healthy person.

Simple when the units are shown after the figures as above. Difficult to know what you might be looking at without the units, as is often how these figures are shown.

[Redsea]

My first troponin test revealed a reading of 4986, then after 6 hours was repeated and it was 10 000! I think I had a heart attack not indigestion as I thought! Hope you are feeling better.