Troponin

[Dshadzz07]

so I’ve had my troponin tested 3 times in 4 days. It’s gone from 3 to 4 to 5. Could that just be different factors my doctor said a lot of things can actually affect it. That I shouldn’t worry unless it came out at like 100s

[Tos92]

Do you mean it’s come back in the minus as per your previous post?

healthunlocked.com/bhf/post...

If it’s minus 4 or 5, you’re more than within a normal range for your troponin. I assume you are talking about your high sensitivity Troponin T?

The doctor has said that because the higher the troponin, the more likely you are to sustain heart muscle damage and is indicative of a heart attack. Hence, why he probably said not to worry.

[Dshadzz07 in reply to Tos92]

well you can’t have negative troponin. My hsTnT have been 3 then 4 then 5 but she said that’s fine

[Tos92 in reply to Dshadzz07]

I’m not sure what you’ve been told, but in regards to your last post where you said your Troponin was <3mg/l, if your figures remain within that region, which seems like what you’re saying in your current post, that’s more or less considered as your Troponin being “undetectable” as I was told by one cardiologist. That is considered very good which is my understanding of it.

[Dshadzz07 in reply to Tos92]

I think I just meant 3 idk why I said that the doctor said even though it’s gone up a couple bits she said it’s still well within range and it’d be a lot higher with a heart issue but you know my anxiety.

[Tos92 in reply to Dshadzz07]

Sorry, I didn’t explain it well. I meant less than, as opposed to minus. As far as I’m aware, that is still well within normal range.

I completely understand the anxiety. When I had my heart attack, it was near the 100’s. Your results show that you are not even close to that number.

How are things going with your anxiety? Has your GP referred you to speak to a therapist?

[Dshadzz07 in reply to Tos92]

yeah I’m finally in therapy starting Monday. And starting an antidepressant very nervous

[Tos92 in reply to Dshadzz07]

That’s brilliant news! It’s always a little bit nerve wracking when taking a medicine we’ve not had before. Fingers crossed it will help with some of your anxiety symptoms.

Let us know how you get on with it.

[Dshadzz07 in reply to Tos92]

Thank you Tos. I hope so too

[Yumz199725 in reply to Dshadzz07]

Aw well done! 😊👏. I know it's not easy but will definitely help you in the long run x

[Dshadzz07 in reply to Yumz199725]

thank you yumz

[Milkfairy Heart Star in reply to Tos92]

In the UK troponin blood levels are measured in ng/L.

A troponin blood level below 5ng/L suggests that the person is unlikely to have had a heart attack.

For more details see Prof Nick Mills research into high sensitivity troponins.

researchgate.net/scientific...

His research has shown That a 'myocardial infarction could be safely ruled-out in all patients presenting with chest pain ≤3 h when using a single hs-cTnI value <3 ng/L as diagnostic cut-off.'

pubmed.ncbi.nlm.nih.gov/343....

Prof Mills is a BHF funded researcher and is doing further research, using artificial intelligence to improve the diagnosis of patients experiencing a heart attack.

bhf.org.uk/what-we-do/our-r...

[Dshadzz07 in reply to Milkfairy]

My doctor said tachycardia can even cause troponin spikes but you know my brain

[Milkfairy Heart Star in reply to Dshadzz07]

That's correct.

Some of the causes of raised troponin in the blood:

Rapid heart rate.

Infection in particular sepsis.

Inflammation eg. Myocarditis

Blood clot such as a pulmonary embolism.

Cerebral haemorrhage, stroke,

Kidney disease,

Extreme exercise, marathon runners can have raised troponin blood levels at the end of their run.

Trauma and after heart surgery .

One lovely Cardiologist said to me you can't be a little bit pregnant but you can a little bit of a heart attack 😊

[Dshadzz07 in reply to Milkfairy]

Yh my heart rate has been like 120 from the hyperthyroidism and intense palpitations. Just trying to think logically that I’m 21 and the dr said it’s nowhere near the cut off for a heart attack

[Milkfairy Heart Star in reply to Dshadzz07]

Have you seen an Endocrinologist about your hyperthyroidism?

Your hyperthyroidism could be contributing to your feelings of anxiety.

nhs.uk/conditions/overactiv...

[Dshadzz07 in reply to Milkfairy]

it was hypo but now is hyper. It’s kinda weird right now.

[Milkfairy Heart Star in reply to Dshadzz07]

It's way too hot. Lot's of typos today from everyone 😂

I suggest you ask your GP to refer you to an Endocrinologist to see why your thyroxine levels are so variable.

[Tos92 in reply to Milkfairy]

Looks like I’ve made a typo, I meant “ng/l” and not “mg/l”.

Yes, I remember you attaching an article to the OPs post the other day about how Troponin is now measured. I don’t think this guideline is widely practiced/rolled out in all relevant healthcare settings just yet?

[Dshadzz07 in reply to Tos92]

I just got told anything above 14ng/l is when they retest. You know just how it’s gone 3-4-5 I’m like scared about that but maybe it’s just from my stress. Like can’t be much difference between 3 to 5

[Milkfairy Heart Star in reply to Tos92]

Ah, the problem of the translation of research findings into practice 🙃

[wilsond]

So don't worry then!

[Silvertail]

When I had my last takotsubo event my troponin level went up to 79 and I was told it was a mild leak.

[Dshadzz07 in reply to Silvertail]

so I shouldn’t worry about 5?

[Silvertail]

I wouldn't think so, but don't take my word for it. You may measure it differently in the UK.

[Rosey666]

I can put your fears into perspective, my troponin level baseline is around 140 and has been for around 4 years, it was only explained recently when my third cardiac MRI identified scarring on my heart muscle, I am now classified as having heart failure after 7 angiograms in as many years. When I had my first MI in 2015 my troponin levels were 980.

[Dshadzz07 in reply to Rosey666]

obviously I’m so sorry about what you’ve been through but I also thank you for putting into perspective that 5 clearly isn’t that high in the grand scheme of things. I really hope things get better for you.