Troponins and MI meds

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causes of a raised troponin: 

  • Myocardial infarction
  • Massive pulmonary embolism - leads to increased work of the right ventricles which damage cardiac muscles releasing troponin
  • Chronic kidney disease (especially in later stages, although they may also have concurrent acute coronary syndrome - look for an increase from baseline) 
  • Myocarditis 
  • Sepsis/other critically ill (increased work of the heart leading to myocyte damage) 
  • Aortic dissection
  • severe tachycardia/bradycardia
  • Stroke or subarachnoid haemorrhage
Medical treatment for patients with acute coronary syndromes on presenting (before PCI) : 

Morphine
Oxygen
Nitrates
Aspirin
Clopidigrel


Medicines after an MI
Atorvastatin
B- blocker
Check all else

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