Raised troponin
Common causes
- • ACS
- • Myocarditis
- • PE
- • Sepsis
- • CKD
- • Tachyarrhythmia
Significance: Use 0/1h or 0/3h pathway and clinical context (chest pain + ECG).
Differential diagnosis
- • STEMI/NSTEMI
- • Type 2 MI
- • Myocarditis
- • Takotsubo
Next investigations
- • Serial troponin
- • 12-lead ECG
- • Echo
- • Coronary angiography if indicated
Red flags
- • Dynamic rise/fall with chest pain
- • ST elevation = activate cath lab
