Troponin 0.01, although the value is very small, but because troponin is a specific indicator of myocardial necrosis, it must be immediately combined with the patient’s symptoms and other tests, and actively deal with, and may require drug treatment and surgical treatment.
1. The patient has no symptoms: if the patient does not have any symptoms, the Troponin is 0.01 high, and the ECG is normal, we should consider whether there is a possibility of laboratory error, and this situation is recommended to review and clarify immediately.
2. The patient has chest pain and other symptoms:
(1) If the patient has typical symptoms such as retrosternal pain, chest pain, chest tightness, sweating, nausea, etc., and has had similar symptomatic episodes in the past, which were relieved in a few minutes, and the current symptoms continue to be severe, combined with the electrocardiogram consistent with myocardial infarction, such as ST-segment elevation, and a high troponin level of 0.01, the diagnosis of myocardial infarction may be clarified.
(2) The patient was immediately hospitalized and actively treated with medication, commonly used drugs include nitroglycerin, low molecular heparin, aspirin, tegretol, etc., and even treatments such as emergency coronary intervention, balloon dilatation or implantation of stents.
3. Patients with chest tightness and shortness of breath: If the patient has a previous history of cold and fever, and currently has chest tightness, shortness of breath, palpitations, etc., with a high troponin of 0.01, viral cardiomyositis may occur, and active hospitalization is needed for treatment, application of vitamin C, coenzyme Q10, trimethoprim and other nutritive cardiac drugs.
Elevated troponin usually indicates myocardial necrosis in clinical practice, and the condition is more serious, so it is necessary to consult the cardiology department in time.