Thanks for your concerns, yes there is truly a source of concern given your history of diabetes
and the elevated troponin
in the setting of sinus tachycardia
. The first thing that needs to be ruled out are significant blockages of the arteries of the heart giving rise to those symptoms, thus a cardiology visit is in order. he may decide to conduct a stress test
or with the information and symptoms that you have had may recommend an angiogram (invasive test with dye to look at the vessels of the heart). I would not ignore the symptoms or take them lightly.
Dr Brenes-Salazar MD
Mayo Clinic MN