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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can alcoholism cause increase in troponin level?

my mother in law is an alcoholic and has been admitted into the hospital three times in three years for the disease. Each time, she complains of chest pains, sweating of the hands, etc. Everthing is clear but her troponin levels, which are a little high. Could the alcohol be the cause of the level increases?
Mon, 29 Sep 2014
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Addiction Medicine Specialist 's  Response
yes and yes.
Yes (good news) the alcohol can dry you out, cause dehydration, and the amount of troponin you normally have will appear slightly high and there's zero other sign of heart disease and it gets better with 1-2 liter of fluid.
yes (BAD NEWS) it can also be heart damage from alcohol .. frankly the chest pain makes this quite probable. Heart damage shows up as heart muscle protein (troponin) falling out of heart and into the blood. The damage is mostly permanent but if no more drinking no further damage.
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