About this episode
Author: Sam Killian, M.D. Educational Pearls Not every troponin elevation is an MI. Trop elevates in about an hour in ACS and stays elevated for days. Non-MI conditions that cause elevated troponin: Critical illness (sepsis), increased cardiac demand, right heart strain, LV dysfunction, hypotension, pressor use, acute PE, SAH, chronic renal failure, CHF, aortic dissection, and peri/myocarditis. Elevated troponin in settings other than MI is correlated with increased mortality. References: Korff S, Katus HA, Giannitsis E. Differential diagnosis of elevated troponins. Heart . 2006;92(7):987-993. doi:10.1136/hrt.2005.071282.