Use and Misuse of Cardiac Troponins in Clinical Practice

Sachin Gupta, James A de Lemos

Research output: Contribution to journalArticlepeer-review

67 Scopus citations


Cardiac troponins are very sensitive and specific markers of myocardial injury. Elevated troponin levels in the setting of acute coronary syndrome are diagnostic of acute myocardial infarction and provide guidance to clinicians with regard to appropriate use of intensive medical and revascularization therapies. However, elevated troponin levels are commonly seen in several noncoronary ischemia presentations and create considerable confusion among clinicians in these settings. In this review article, we discuss the utility of troponins in various clinical settings and present a "common sense" approach to interpreting troponin elevation outside the setting of acute coronary syndrome.

Original languageEnglish (US)
Pages (from-to)151-165
Number of pages15
JournalProgress in Cardiovascular Diseases
Issue number2
StatePublished - Sep 2007

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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