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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, please share results of TMT.
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Cardiologist
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Troponin values normal. Donot panic. May need more evaluation for the recurring chest pain.
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It is normal. You need not panic about it. Echo need not be repeated again.
It may be a panic attack what felt.
For the panic attack you should consult a doctor.
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It's normal.
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It is in normal range
Please carry asprin plus clopidogril
And atorvastatin tables with you in your pocket every time and consult to a senior cardiologist
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do not panick
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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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if you need help feel free to book a consultation
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If you are diagnosing yourself then stop and let a qualified cardiologist make his opinion.
Self medication and googling your symptoms will always land you in trouble.
Have faith in your doctor,he has nothing to gain by misleading you
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As long as your troponin I is below the normal range,you don't need to be concerned.You don't need to repeat it.A clinically significant troponin level is usually much higher,above the limit
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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.
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Nothing is concerning except your Psychological mindset.
By this time your General Physician or Cardiologist should have referred to a Psychiatrist for a proper evaluation.
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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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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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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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Everything is normal. anxiety related issue.
Health Tips
try to practice some physical activity & meditation.
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Next time if u face similar situation,after initial trop I and ecg ..after 3 hr ,repeat trop I and Ecg ..look whether there is any rise,fall or any changes
There are other conditions which mimic heart attack.. complete evaluation required ..
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Probably an anxiety attack
Consult if recurrent symptoms occur
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WNL
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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.
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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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Relax it's nothing to be concerned of
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I understand ur concern. It's normal nothing to worry about. Untill it lies within the normal range there is nothing to worry about.
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Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Manaswi Shamsundar
General Practitioner
Pune
It is within normal range meaning there is no problem with your heart
Stop worrying
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Dr. Vipul Damkondwar
General Physician
3 yrs exp
Nanded
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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Dr. Prasanna Kumar T P
General Physician
Madurai
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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