Troponin level 19

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About 10 days ago I had severe chest pain ... and since then been feeling quote poorly. I then got chest pains again but not as severe as the first time and my husband made me go to A& E they did bloods and my troponin level was 19. They discharged me as my chest pain went away. I'm still confused as to what this means. My d dimmer was raised but they ruled out a clot. I'm still feeling extremely weak and tired and just getting little stabbing pains in my chest left side.

I add the first time I got the chest pain 10 days ago I thought I was going to die I've never known it .. felt like someone had put my heart in a vice and crushing it.

I've since heard the troponin levels range is between 3 and 14 .. mine was 19 but that was 10 days after my sever chest pain.

Anyone else had a raised troponin

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  • Posted

    Hi Kelly     Did they tell you to get further testing? I had slightly raised troponin level after an episode of afib. They weren't concerned. I know what you mean about having chest pain and not getting any resolution to it. I have been to hosp several times with pain and or tightness. No troponin increase so they send me home. I would try and follow up with family doctor if you have more questions. Don't let it go til you are satisfied. Someone will probably come on and be able to help you futher I hope. Take care

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  • Posted

    High Troponin levels, such as 19, usually means you've had a heart attack.  Troponin is a protein that exists in heart muscles, and if a heart attack occurs Troponin is released into the blood stream.  The number relates to the amount of damage done to the heart, i.e. the higher the number the more damage that was done.  After 10 to 14 days the levels will decrease, but I would recommend seeing a cardiologist to determine how much damage was done.  If you're feeling weak the damage done to your heart may be affecting the amount of blood flow coming from the heart, which they call 'ejection fraction'.  Better go see someone ASAP.

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  • Posted

     That's unusual, but the treating physician probably felt that since you know longer had chest pain, there was no reall threat of a cardiac event, however your troponin

    level was out of range.  Did you have any other tests, like creatine kinase?  I've never had a raised troponin level, but back when I had my heart attack, that test hadn't been developed yet.  But I had a very high LDH (lactate dehydrogynase) level which indicated muscle damage.  Creatine kinase levels have to be done within so many hours (6-12) of a suspected infarct, after that time they return to normal, but an ekg can still yield some information.  I had a heart attack last September, I had no chest pain, just severe left wrist pain that was unrelenting for 45 minutes.  That kind of pain is called referred pain, and sometimes there is no chest pain, but an ekg I had several weeks later showed evidence that  an event had occurred.  I'm also 64 years old, and physicians know that post menopausal women are at greater risk than a much younger woman.  You don't mention your age, but that may be a factor for why they ultimately discharged you.  You were not having any more chest pain, however that doesn't mean it won't return.

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    • Posted

      Kelly, I'm sorry you've had to deal with such serious heath issues, that in and of itself has got to be physically and emotionally overwhelming.  I had a hysterectomy myself at 23, but thankfully I didn't go into premature menopause right away, but it was premature, nevertheless.  Your crp is pretty significant at 108, an elevated crp means there is inflammation going on somewhere in your body.  If you had a hs crp, then that needs to be relayed to a cardiologist, because it can have serious implications where coronary health is concerned, but since you just mentioned crp, I'm assuming you didn't have the other type of test.  I wish you better health.

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