Troponin in Cardiology: A Clinical Pearl

CARDIOLOGY PEARL🔎‼️ 🔴INFO ON TROPS IN CARDIOLOGY 🧠🫀🔎🫁 👉Troponin is a biomarker of myocardial cell damage, but an elevation does not equate to #ACS. While ACS (e.g., unstable angina, non-ST-elevation MI, or ST-elevation MI) often causes a rising and falling troponin pattern indicative of acute ischemia, other mechanisms like demand ischemia, direct myocardial trauma, or systemic stressors can also lead to leaks from the heart's cytosolic or structural troponin pools. 👉 Unexplained or minor elevations are rare but can occur in conditions such as critical illness or even ultra-endurance exercise, though these are not always tied to irreversible necrosis✍️✅️ 👉Always evaluate troponin in conjunction with clinical history, #ECG changes, and symptoms. A dynamic rising and falling pattern (e.g., ≥20% change) supports ACS or acute injury, while persistently elevated but stable levels suggest chronic conditions like #CKD or stable heart failure. 👉Serial testing (e.g., at 1–3 hours with hs-cTn) helps differentiate, and imaging like echocardiography or MRI may be needed for confirmation (e.g., in suspected myocarditis) 👉Avoid treating non-thrombotic elevations with antiplatelet/antithrombotic agents without evidence of ACS, as this lacks supportive data and may cause harm🚫💔 👉In perioperative settings, monitor high-risk patients (e.g., >65 years or with CV risks) with serial troponins to detect avoidable triggers like hypotension or anemia. #Cardiology #Troponin #MyocardialInjury #AcuteCoronarySyndrome #MedicalEducation #ClinicalPearl #Healthcare #CardiovascularHealth #Diagnosis #Medicine #Cardiology #EmergencyMedicine #ICUSpecialists #AcuteMyocardialInfarction #KillipClassification #ERRiskStratification #Cardiologists #EmergencyPhysicians #ICUNurses #HealthcareProfessionals #Physicianlife #PhysicianOfLinkedlin #EmergencyPhysicians #Emergencymedicine #interns #Medicalstudents