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Epigastric pain, low pulse. ECG abnormal, angiogram normal, blood test shows elevated troponin. Causes?

Hi 2weeks ago my husband suffered epigastric pain, when they did the ECG there s a little abnormality, they do also do the blood test for troponin and its a little elevated....his bpm is 144/85 45 pulse . Thy did the echocardiogram and angiogram and its normal....what do you think is the reason why his troponin get elevates?
Asked On : Fri, 31 Aug 2012
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Internal Medicine Specialist 's  Response
Atypical chest pain or epigatric pain with abnormal ECG needs to be corelated clinically if Troponin I is high . Even if Echo and Angigram is normal because cardiac damage may be due to temporary thrombus which is there and dislodged at the time of angiography.
He can be on preventve therapy like Cholesterol lowering and Aspirin, minimum or Beta blocker ? because Heart rate is 45 BPM is it for short time or he always keep slow hert rate.
He must adapt to healthy life style eg. Ideal weighjt,diet,physical activity and stop smoking and alcohol if any.
Sometimes a very heavy exercise, Pulmonary Embolism,Pericarditis,Myocarditis,or Blunt chest trauma can raise it even a septicemia can cause a clinical corelation is required.
Because these are some causes apart from IHD .Your cadiologist knows them so follow his advise.
Best of luck.
Answered: Sat, 1 Sep 2012
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