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Troponin and CK MB

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Q: What substance's levels are elevated when cardiac muscle tissue is damaged?
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Cardiac enzymes and troponin elevate what?

Cardiac enzymes and troponin levels do not elevate anything. Rather, when you have a heart attack (MI), they are elevated. Unlike damage to any other muscle in your body, damage to the cardiac muscle causes the release of specific cardiac enzymes. Therefore, if they are elevated, you had damage to your heart (i.e. heart attack). I disagree with the above: If both are elevated then you may have had a heart attack but, if cardiac enzymes alone are elevated and not troponin levels then you will not have had a heart attack. That's my personal experience. Troponin levels are now considered a more accurate indicator of damage to the heart muscle as a result of a heart attack than cardiac enzymes which can apply to any other muscle group rather than the heart. In fact to use the word 'cardiac' in this context is misleading because if you sprain your ankle for instance 'cardiac' enzymes will be released into the blood! So, where is the connection between damage to your ankle and that of your heart? Both enzymes therefore need to be elevated to indicate heart damage reliably.


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