Highest Troponin Levels You've Seen? - page 4

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   jelly221,RN
    Quote from 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!
    Just wanna clarify/correct - my hospital uses ng/mL, in which <0.6 is negative. This would be equivalent to 600 ng/dL. So the 3.4 ng/mL would actually be 340 ng/dL. I've since seen a 99 ng/mL (where our lab maxes out), which would be 9,900 ng/dL.
  2. by   Bob Henry
    I've just checked my notes discharge notes for my initial troponin level. Following admission to hospital and blood test after 6 hrs following suspected heart attack the blood came back with Troponin level of 2041 yes 2041, I believe there are a number of methods to measure the levels so it may be out of sync with yours but needless to say it's very high.

    On a positive note 6 days later troponin was down to 70 and the consultants write up was similar to this,
    No coronary disease or narrowing of coronary arteries other than L.A.D slightly narrowed around 20%, minor damage to heart and recurrence unlikely.

    This followed a two week stay in hospital numerous tests and checks not to mention monitoring, angiogram, MRI scan etc etc.

    Reassurance I would say is the order of the day and whatever the level of troponin the outlook can still be good.

    Thanks to all who got me through a testing time and made my stay so bearable, you all do great work, thanks again.
  3. by   marilynbaker
    300 was the highest I've seen.. wow someone on here saw a patient with 580!
  4. by   Antik
    My personal high was 1376, but it dropped today to somewhere around the 1000. My main complainment was that my chest was hurting (9 on scale from 1to 10). Just after I threw up they tested my blood because they didnt believe the first value (1100 or so). It is a problem with my heartmuscle caused by a virus on my heartsack or so.
  5. by   nurserobinson281988
    Impella, Swan, CRRT, four pressors, etc. Ohhhh the joys.
  6. by   chris21sn
    My new admission, admitting diagnosis being chest pain. After doing admitting questions, he told me he was starting to have chest pain 6/10. Gave x2 sublingual nitro. No relief. Lab called me about five minutes later, reporting a 500 troponin. I work nights, tried called the house doctor -- no answer. Called RRT -- sent pt to ICU.
  7. by   Catticus11
    I just recently went through the AACN ECCO program through my hospital, something that took me off guard was (either the program or my instructor) saying that it was unnecessary to let a provider know if a Troponin is elevated if the previous was one also elevated, regardless of whether or not it was trending up. The rationale was that the only diagnostic value was whether or not it was positive, not whether it's trending.

    Now, this is not taking into consideration other clinical signs or symptoms (c/o chest pain, hypotension, EKG changes, etc.)

    I was wondering anyone else's take on that.