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Cardiac contusion on account of blunt upper body wall trauma can raise the level of troponins stemming from direct damage to the ventricular muscle mass fibers.
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Patients who acquire CPR or exterior defibrillation [23] or shocks from an implantable cardioverter defibrillator could also have elevated troponin degrees because of ventricular muscle destruction.
This issue, having said that, is unwarranted and is predicated on many misconceptions. In actual fact, newer troponin assays signify a big advancement in laboratory tests, and if made use of adequately will enrich clinicians' capacity to promptly diagnose individuals with suspected acute coronary syndromes (ACS). These issues were addressed inside our recent evaluation report "Troponin Screening for Clinicians"4 and they are briefly reviewed right here.
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