Troponin Levels
Have this invaluable chart on hand when analyzing and interpreting troponin levels for the important and critical diagnosis of cardiac injury. Click here to download your free template.
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What is a Troponin Levels Chart?
A troponin levels chart is an important and well-utilized medical resource that assists healthcare practitioners in delineating the normal, abnormal, and significantly elevated levels of troponin present in the bloodstream. A resource such as this exists to collate the presence of three specific cardiac structural proteins ( troponin C, troponin I, and troponin T). Typically, troponin exists within one's heart muscle cells, yet injury and damage to these cells cause the proteins to enter the bloodstream. Very small amounts of troponin circulate within the bloodstream naturally. Hence, its presence in significant levels leads to concern in medical professionals for the wellbeing of their patients.
The presence of troponin T and troponin I Indicates a heart injury such as a myocardial infarction (heart attack), and with clinical assessment and the use of echocardiogram interpretation, a diagnosis can be made. Troponin levels are detectable 3-4 hours after the cardiac event, dramatically increasing over 12 hours and peaking at around 24 hours post-event. The levels remain high for several days but are expected to lower after this time. This level chart is immensely important in emergency medicine and cardiac health as its ability to record measures of troponin can help diagnose cardiac injury and patients at risk of developing cardiac-related conditions.
The blood's normal range differs slightly between institutions yet the majority consider a level of troponin <14 ng/l to be normal. Troponin levels between 14 to 30 ng/l indicate a possible heart attack. Patients with this result are a cause for concern; further testing is desirable. Levels > 30 ng/l indicate probable Myocardial infarction (MI), and urgent treatment is required.
Printable Troponin Levels Chart here
Access our free Troponin Levels Chart PDF here
How Does It Work?
Step One: Gather your Resources
Troponin level charts are a valuable resource that’s essential to keep on hand. Make sure that you have one when the need arises by either clicking the “Download Template” or “Use Template” button or by searching “ Troponin Levels Chart” on Carepatron’s template library’s search bar on the website or app.
Step Two: Collate Essential Information
If using this chart as part of an MI diagnosis, clinical assessment notes and echocardiogram analysis are essential aspects of the chart to fill in, as well as the troponin level results.
If using this chart to decipher an elevated troponin level in the absence of MI, simply record the data in the chart and indicate the possible cardiac and noncardiac causes in the offered ‘causes’ section for referral to a specialist and further intervention. Note that troponin level charting on its own can not formulate a diagnosis, rather, it is a tool used in collaboration with other tests.
Step Three: Store the Template Securely
After reviewing the results and hosting a consultation with your patient and or relevant specialists, you need to secure the troponin levels test results chart so that access is only granted to relevant parties.
Ensure this through Carepatrons HIPAA-compliant free patient records software. Here, all relevant medical records can be safely stored and collated for ease and security.
Troponin Chart Example (Sample)
Interested in making use of this vital diagnosing assistance tool? Obtain a complimentary, downloadable, and printable completed troponin chart PDF. We've designed this sample template with fictional data to assist you in effectively utilizing the chart and analyzing the troponin level parameters. Other causes of elevated troponin levels are included in the template to help with referral and future treatment plan options.
Obtain your copy by either previewing the sample below or clicking the "Download Example PDF" button.
Download our free Troponin Chart PDF here
When would you use this test?
Troponin level charting is a common and well-utilized tool that helps with the crucial diagnosis of MI, yet it also has the potential to assist in the diagnosis of other medical conditions, both cardiac and non-cardiac related. See the suite of options for this particular chart use below:
Troponin as a marker of Myocardial Infarction
The use of the troponin levels test alongside a risk assessment and echocardiogram (ECG) helps formulate the diagnosis of a Myocardial infarction. The results of a troponin test cannot form a diagnosis on its own, rather, it is an aspect of diagnosis.
Troponin as a marker of Cardiac causes
An elevated troponin level result can indicate the need for further testing for cardiac causes such as congestive heart failure, coronary artery disease, Myocarditis, and Aortic valve disease. By using the troponin levels chart to assist in the recording and planning for further testing, quick and easy reflection on these results allows for the future management and treatment of serious cardiac causes such as these.
Troponin as a marker of other medical conditions
Conditions such as chronic kidney disease and sepsis can also cause troponin levels to rise, making this chart a viable step in the treatment and diagnosis of such conditions. Over-exercising and extreme emotional turmoil, such as severe grief and stress, can also be indicated through raised troponin levels.
What Do the Results Mean?
The laboratory results for troponin values can be analyzed in conjunction with other testing tools to make important diagnosis decisions. Below are the parameters and interpretations of troponin values:
- Normal without symptoms: Troponin I 0 - 0.04 ng/ml Troponin T 0 - 0.01ng/ml
- Normal with symptoms: hs Troponin T <14 ng/l
Patients displaying a result of <14 ng/l over 6 hours post symptoms will rule out the occurrence of MI.
- Possible MI: hs Troponin T 14 - 30 ng/l
Clinical assessment and review of medical history are needed to help determine the clinical context. Further testing is encouraged. If the patient is low-risk and stable, a second troponin test should be conducted 3 hours after the initial test.
- Probable MI: hs Troponin T > 30 ng/l
Urgent treatment is required if patients have a significant level of troponin T present in their bloodstream, as this is likely the result of a serious cardiac event.
Abnormal troponin levels can also suggest other health issues and the results should be considered with other testing means such as clinical and symptom assessment as well as an ECG.
Why use Carepatron as your troponin levels app?
Choosing Carepatron as your app of choice when interpreting results. Using a troponin level chart and conducting an investigation into cardiac injury offers multiple advantages for you as a healthcare practitioner.
Careptron has a centralized workspace, meaning you can seamlessly manage clinical documents and electronic patient records, set patient appointment reminders, and even handle medical billing without exiting the platform and downloading additional software. Because of this integrated and holistic approach, processes and tasks related to troponin level charting and many others are simplified and streamlined. This offers you peace of mind so that you can dedicate most of your time, attention, and effort towards caring for your patient.
Carepatron strives and succeeds at offering thousands of healthcare professionals a platform that is efficient and productive in places of practice that’s why you can customize tools and workflows according to your unique needs. Carepatron also enables and empowers both practitioners and their patients to handle administrative tasks such as service booking and paperwork completion. This easily accessed sharing of key documents and data both on and away from the app makes for a high-quality customer experience.
We are firm believers of radical accessibility so that's why our app is accessible on any device you have on hand. Clinical note-making and updating has never been easier with our portable medical dictation software! With great accessibility comes great responsibility so that's why all notes, clinical records, results, and practitioner data are safeguarded under Careptron’s global compliance with global security requirements, including HIPAA, GDPR, and HITRUST.
References
Cleveland Clinic. (2022, March 17). Troponin Test: What it Is and Normal Range. Cleveland Clinic. https://my.clevelandclinic.org/health/diagnostics/22770-troponin-test
MedicineNet. (2022, October 3). 13 Reasons for High-Sensitivity Troponin Test, Normal & High Ranges. MedicineNet. https://www.medicinenet.com/high_sensitivity_troponin_test_ranges_and_values/article.htm
NHS North Bristol. (n.d.). BLOOD SCIENCES – DEPARTMENT OF CLINICAL BIOCHEMISTRY Title of Document: Troponin fact sheet for primary care Troponin fact sheet for Primary Care. https://www.nbt.nhs.uk/sites/default/files/Trop%20w%20%20header.pdf
Stark, M., & Sharma, S. (2023, April 23). Troponin. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK507805/
Zawn Villines. (2019, June 7). What is the normal range for troponin levels? Medicalnewstoday.com; Medical News Today. https://www.medicalnewstoday.com/articles/325415
Commonly asked questions
Medical professionals who suspect a recent heart attack or those working in hospital emergency departments most commonly request this test.
Troponin level charts are commonly used in conjunction with clinical assessment and ECG testing to help diagnose a heart attack. The test may also be conducted if there is suspicion of other cardiac conditions or damage.
Medical professionals use the troponin levels chart to collate blood testing results in an easy and efficient way for quick access to help diagnose serious cardiac events.
With available blood results, a troponin levels chart will take less than 10 minutes to complete.
