Brief Answer:
I would explain as follows:

Detailed Answer:
Hello XXXXXXX

Welcome and thank you for asking on HCM!

Regarding your concern, I would like to explain that as Troponin test is an important exam for confirming myocardial infarction in the settings of clinical symptomatology (chest pain, etc.) and certain ECG changes, there are also additional clinical conditions that may be responsible for abnormally increased Troponin levels, such as sepsis, hypovolemia, atrial fibrillation, heart failure, pulmonary embolism, pneumonia, pancreatitis, myocarditis, myocardial contusion, aortic dissection, stroke and renal failure, etc.

Once a myocardial injury is excluded by carefully reviewing the overall medical data (clinical symptomatology, ECG, cardiac ultrasound, lab tests [including CK-MB,Troponin]), the next step is to perform a comprehensive differential diagnosis of all the above mentioned alternative causes.

Coming to this point I would like to ask you, whether you mom has experienced recently any chest pain symptomatology, or abnormal ECG changes?

Is there any chronic health disorder, like renal insufficiency, heart failure, etc.
Your mother has swollen legs, s it is important to exclude/confirm heart failure implications.

To properly address this issue a cardiac ultrasound (ECHO) and NT-proBNP dosing are necessary.

If your mom has experienced recently acute dyspnea, besides a decompensated heart failure, pulmonary embolism, pneumonia, etc. should be sought, too.

So, to conclude a clinical correlation of elevated Troponin with actual symptomatology and recent medical history is necessary to properly explain this laboratory finding and correctly address the management strategy.

In case of any available medical information (clinical history, medical tests), I would be glad to review them.

Feel free to ask me again in case of further uncertainties.

Kind regards,

Dr. Iliri

---

Brief Answer:
Wishing everything results OK.

Detailed Answer:

Hi again, dear XXXXXXX

As no chest pain is present, ECG is normal, if cardiac ultrasound results normal, then a myocardial infarction is excluded with a great certainty.

ECHO will investigate also for possible underlying cardiomyopathy.

I wish everything results normal and any other responsible cause be quickly resolved.

Please, let me know how things are going on.

Regards,

Dr. Iliri

---

Brief Answer:
You are welcome!

Detailed Answer: XXXXXXX

You are welcome!

Greetings!

---