Non Ischemic High Troponin associated conditions

Notes about troponin in ICU

Heart related

1. Arryhythmia.
2. aortic dissiction
3. coronary vasospasm
4. cardiomyopathy
5. contusion
6. chemotherapy
7. takotsubo cardiomypathy
8. myocaditis
9. pericarditis

Plumonary related

1. PE
2. pulmonary hypertension

Others

Neurological catastrophe , chronic renal failure.

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Troponin has poor prognostic potential except in critically ill patients where the mortality is 2.5 higher with longer ICU length of stay.

Chronic renal failure patients with higher troponin (TnT>> TnI) have poorer outcome.