Highest Troponin Levels You've Seen? - page 3

Hello Everyone, First, a caveat. I'm in my last semester of school doing a precepted clinical in CCU, so basically, I know absolutely nothing about anything. Please forgive my ignorance, but if... Read More

  1. by   Michael A RN
    The highest related to MI was around 300, cathed the next day to find no blockage. The highest I've ever seen though was a rhabdo with a trop of greater than 1000. Their CPK was greater than 200,000.
  2. by   RNforLongTime
    I had a pt a few months ago with a Trop of 847!! She got shipped out after that one! The initial Trop was 29! Not sure what happened but I did see the pt's name in the obituary section of our local newspaper a few weeks later. pt was 93
  3. by   jelly221,RN
    Oh god I was terrified reading these posts until I realized my hospital uses a different scale. I had a 3.4 (on our scale) the other day, so 3,400 by the standards here. Huge sub endo MI... silly goose went and pulled his A-line out after the stent placement before we could do it and STILL went home the next day. Lucky!
  4. by   Flyboy17
    Just recently after reopening a closed LAD that had been shut down for several days the pts Troponin jump all the way to 234. When we reprofused the vessel all that trop just pushed into her system.

    Jonathan RN
  5. by   Flyboy17
    Quote from CCL RN
    Quite the opposite... When I see tombstones I want to do something! They make me very excited!

    Even better is when they inflate a balloon and you see the tombstone T's get smaller and smaller...

    The best is not knowing how mad the RCA is and if they are going to have reprofusion V-Fib/V-Tach.
  6. by   Fox_RuN
    467.... a lady with paranoid schizophrenia...needless to say she went straight to cath lab

    Next highest was a gentlemen who peaked in 300s.....his EKG did show ST elevations, but surprisingly they weren't as far above the isoelectric line as I would have suspected...however he did NOT go to the cath lab for some reason that still eludes me today (His Cr was 2.1 (baseline of 1.8).... I have seen people go for PCI with higher Cr than that which is why I'm still puzzled to this day) Bad medical decision...his kidneys ended up failing him more anyway and they might have been saved if he went....poor guy was a frequent flyer
  7. by   GinRN77
    >1000 on a kid whose family brought him into the ER saying he wasn't feeling well. Kid was pale, yellow and looked close to death. Grandparents just shrugged and said he didn't want to get up, and had been lying on the sofa for a few days (later we find out after shooting up)....wow.....
  8. by   brainkandy87
    Saw one with 900 a couple months ago. He'd been complaining of epigastric pain for about two weeks, never came to the hospital about it. Ended up with a STEMI and all but dead. I saw him in CCU and he was on every vasopressor known to man in addition to propofol and vent. Never thought he'd make it out of CCU. Two weeks later, he was on SDU recovering and then went home. I don't think it will ever cease to amaze me the things we can do to save someone's life.
  9. by   kaylalee2
    Eek! Ours max's out at 40, but I've had a few intubated, IABP patients myself. Now I'm intrigued...
  10. by   kaylalee2
    Bad news
  11. by   thelema13
    41.02 ng/mL
  12. by   bect
    I had a pt in peri arrest situation with a troponin that came back as >50000 (which is as high as it will read, was initially 13 post STEMI). I think from reading these that is also the equivalent to >500 elsewhere? Did well on inotropes.
    Last edit by bect on May 4, '12
  13. by   bradons
    Working in Canada I've seen 54 for troponin.

    St elevation MI.

    Ususally I see around 10-20 on most pts. Only been working for 2 years so hopefully the number goes down