What causes elevated troponin Besides MI?

An elevation of cTn indicates the presence of, but not the underlying reason for, myocardial injury. Hence, besides acute myocardial infarction (AMI), there is a myriad of potential diseases with troponin release, including acute pulmonary embolism, heart failure, myocarditis, and end stage renal disease.

Can Covid cause high troponin levels?

An elevated troponin level was also one of the clinical features associated with in-hospital death. In a study from New York of 2736 hospitalized patients (mean age 66.4 years) with COVID-19, 36 percent of patients had elevated hs-cTnI levels [69].

Can dehydration cause high troponin?

Another interesting observation is in Rhabdomyolysis, a life threatening condition involving severe skeletal muscle breakdown due to trauma, overxertion, dehydration or toxic drug abuse[5] can also lead to falsely elevated cardiac Troponin measurements, and a cause for concern in the emergency department[6].

What is a critical troponin level?

For troponin concentrations 0.40 ng/mL and higher, the underlying cardiac injury is usually a myocardial infarction. Troponin concentrations of 0.04-0.39 ng/mL require serial troponin measurements and clinical correlation to interpret, as further described in the guidelines.

What medications can raise troponin levels?

Tocolytic drugs Fenoterol and Verapamil increased troponin level in a prospective cohort study of 22 women. Thirty-two percent and 40% of women had troponin elevation at day 1 and day 3 of treatment, respectively [54].

Does Covid elevated troponin?

Cardiac troponin and natriuretic peptide (B-type natriuretic peptide [BNP] and N-terminal pro-BNP) biomarkers are commonly elevated among hospitalized patients with COVID-19 and are associated with increased risk of mortality. (See ‘Biomarkers’ above and ‘Troponin’ above and ‘Natriuretic peptides’ above.)