Myocardial ischemia with normal troponin, does it need treatment?

Myocardial ischemia with normal troponin requires treatment.
Laboratory tests such as troponin are markers of myocardial injury and necrosis, and elevated troponin values are often indicative of myocardial injury and are clinically important in the diagnosis of acute myocardial infarction and its risk stratification. Therefore, a normal troponin value may indicate that the patient has not suffered myocardial injury.
Although a normal troponin value may indicate that myocardial damage has not occurred, the mechanism of myocardial ischemia is an imbalance between myocardial blood (oxygen) supply and demand in the myocardium, and therefore further progression of the disease may result in myocardial infarction and sudden death.
Therefore, when patients find myocardial ischemia, it is important to start treatment as soon as possible. Prevent further progression of the disease.
If the patient has myocardial ischemia, it is recommended to go to a regular hospital to avoid delays.