troponin and stents

[bob_cab]

I had a heart attack September 2008. I had a check up a few days ago. My troponin test results showed a slight elevation level of 0.12-- my cardiologist suggested an angiogram. Is this too soon? Is it necessary?

[Kukay]

I'm 37 now but on my 32 y/o i had troponin level of 2.24 which i suffer of severe chest pain and weakness on my right arm for a while but after 5 hours it back all to normal and thats where they found out my trop was raise. But when I have my angiogram its comeback all normal, so do I be diagnose as MI or Ischemic heart disease patient?

[ed34]

I have to seriously ask if a raise of normal levels from 0.04 to 0.14 is wise. My troponin was 0.12 and I was rolling around in agony and a blocked circumflex. I have a sneaky feeling it's to help alleviate the queues for further tests.

[ChatterAlly]

Too soon?  With my last heart attack in 2006 as soon as the blood work showed that the chest pains was a heart attack, I was sent immediately to the cath lab.  Seems to be the way many hospitals react now.  Treat you as soon as the heart attack is detected.  Ally

[kenkeith]

With just the information you provide, I would not go with an angiogram.  If you are having chest pains (angina), does a nitrate relieve the pain? If your chest pain (angina) is not relieved with medication, then an angio.   Did you have symptoms that would lead a doctor to believe you may have had a heart attack?

Troponin is the  appropriate  test if a heart attack is suspected?. When a patient has a heart attack, levels of troponins can become elevated in the blood within 3 or 4 hours after injury and may remain elevated for 10 to 14 days.
  
New Troponin-I Range  0.00-0.14 (normal)  0.15-0.49 (intermediate)  >0.50 (positive).
Your 0.12 is within the normal range!

[ed34]

No. It is worth following the advice of your cardiologist to make sure no clots or further blockages have formed. It is also a good chance to ensure the condition of your stent, making sure no restenosis has occurred. If you are not happy about an angiogram, then you could request a CT. If you have  a CT then obviously any possible surgery will have to wait whereas during an angiogram they can pop a Stent in if required.