Elevated troponin level

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I know that dialysis pt's can have elevated troponins without MI, but how elevated is considered to be WNL for a renal pt? Also, would the troponin level be expected to go down after dialysis? Thanks!

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Specializes in Hemodialysis, peritoneal dialysis, transplant..

What WNL is?

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Originally posted by wmarat

What WNL is?

WNL = within normal limits

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Specializes in Hemodialysis, peritoneal dialysis, transplant..

1. Troponin is large molecule, consequently it is not expected to go down after dialysis.

2. "Normal" level of troponin for uremic patients is not clear. I have not found it in litreture.

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Also you may want to remember that renal failure Pts usually have a degree of CAD (coronary artery disease) which in turn puts strain on the ole ticker so I would watch it closely but only be concerned with a pretty significant increase. Also Trop I is cardiac specific Trop M not so much more of a muscle involvement just fyi

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