Authors
Jérémy Boyer, Jennifer Cautela
Published in
La Revue de medecine interne. Oct 01, 2026. Epub Oct 01, 2026.
Abstract
Cardiac troponins are sensitive biomarkers of myocardial injury and are widely used in clinical practice. Although troponin testing plays a central role in the diagnosis of myocardial infarction, an elevated troponin level does not necessarily indicate myocardial ischemia. Many cardiac and non-cardiac conditions commonly encountered in internal medicine, including sepsis, severe anaemia, renal dysfunction, inflammatory or immune-mediated diseases, and several metabolic or treatment-related complications, may also be associated with elevated troponin levels. Their interpretation should therefore integrate the clinical presentation, electrocardiographic findings, biomarker kinetics, and the underlying clinical context. This review provides a practical and rational approach to troponin testing in internal medicine, highlighting its main indications and aiming to avoid unnecessary investigations or inappropriate management.
PMID:
42823206
Bibliographic data and abstract were imported from PubMed on 02 Oct 2026.
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