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Trop is 0.01 higher than normal
I have had intense heart attack like symptoms 4-5 times.. i always go to er n get ekg n trop I tested.. the last 4 times trop I was 0.001 ng/ml so practically zero but this time it has come out 0.01 ng/ml ( ekg normal)
Wouldn't this rise from baseline levels concerning ? The ER told me that they wouldn't bother about such fluctuations unless it increases above 0.03
I am seeking a second opinion . I had done echo tmt last month, so don't know if it has to be repeated.
Answers (28)
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Nothing to worry about so far everything is looking good
But if you are worried about these symptoms for long duration its better to get is assessed because even though it doesn't look like heart attack but it can be due to some other reason like a simple sprain or it can be psychology symptom as well
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Your Troponin I (0.01 ng/ml) is normal (<0.04), so not concerning.
Normal EKG, Echo, and TMT further rule out heart attack.
Your chest pain is likely non-cardiac; review if symptoms worsen or persist.
If more questions are in your mind, you can contact me on WhatsApp at nine one one nine two five five six nine nine for free consultation.
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Sometimes symptoms like acidity and anxiety, might be confused with symptoms of heart attack.
At your age getting heart attack is unlikely
As you said you did 2D ECHO and TMT last month
You’re sure about any inborn heart issues with these tests or any rhythm abnormalities.
Trop 1 below 0.03 is considered normal and is never considered significant.
Also your ECG was normal so correlates it clinically
Next Steps
1. No need to panic, your heart is fine.
2. Avoid high amount of caffeine/ carbonated beverages
3. Drink plenty of water
Health Tips
If you still feel doubtful, you may consult.
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1/1 people found this helpful
They told you correctly that troponin levels are too low to diagnose heart attack. Also no need to repeat echo ecg . Chances you had actual heart attack is negligible.
Feel free to consult for guidance i understand you felt chest pain but that may be due to musculoskeletal spasms or even gastritis. Also I need detail history regarding duration type radiation of chestpain also was there any associated breathlessness or palpitations or anything else.
Next Steps
feel free to consult me.. so we can actually diagnose what problem you actually had and give you treatment so episode doesn't repeat .
Dr mayank naik MBBS(kmc manipal), DFM (cmc vellore)
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The troponin change described (0.001 to 0.01 ng/mL) remains below the clinical cutoff for ACS (generally > 0.03 ng/mL), especially in the absence of ECG changes or persistent symptoms.
Such small rises are frequently not considered pathological if clinical context and repeated cardiac work-up (echo, TMT) are normal.
Anxiety, stress, dehydration, or minor viral illnesses can occasionally cause minor troponin fluctuations well below the diagnostic range
Next Steps
If chest pain continues, consider another serial ECG and troponin at a hospital during symptoms to rule out dynamic changes.
A repeat echo/TMT is not routinely required so soon unless new symptoms, risk factors, or abnormal findings develop.
Holistic review for anxiety-related chest sensations may be worthwhile; consider discussing with a physician for reassurance and further guidance
Health Tips
Avoid excessive repetitive testing unless symptoms change or a physician recommends.
If symptoms worsen (severe chest pain, breathlessness, diaphoresis), seek urgent ER evaluation regardless of recent results.
Discuss anxiety/stress management as this can sometimes mimic cardiac symptoms in young adults
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2/2 people found this helpful
First.... Not all chest pain is a heart attack pain. Considering your age, the chance of a heart attack is low.
You don't have to worry about your heart condition, because there is no significant rise in trop I and no ecg changes. This rules out any acute heart muscle damage.
If you had any other symptoms, other than chest pain, like breathlessness, excessive sweating, blackout, fainting, diminished vision etc, please get your blood sugar levels and bp checked.
It could be just a musculoskeletal pain or a gastritis pain.
Next Steps
If you are very much concerned, then get a echo done and reviewed by a doctor.
You can consult here in practo.
Don't overthink and self diagnose.... It causes too much stress. Get everything clarified by a professional.
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2/2 people found this helpful
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