Case Presentation- On 18th June 2025, a 74-year-old male, who is my regular patient and a chronic smoker, was seen in a corporate hospital at 3 AM with chest pain. ECG showed RBBB pattern. ECHO was reported as NAD. Troponin I was 4.7 units in that laboratory. He developed chest pain again in the morning after coming home. A repeat Troponin I was done and reported as 1696 units in that laboratory.
Based on this, he was advised CAG by the cardiologist. Investigations The patient underwent CAG, which showed an 80% calcification block in LAD. Management He underwent angioplasty using cutting technology. Discussion The discussion here is related to the exponential increase in Troponin I within a short span of time, and the value was extraordinary. The question is whether the result was correct and acceptable as per the standard value for Troponin I. By going through literature it was not…
