Conversation: The conversation between human and AI assistant.
[|Human|] I am a 52 yr. old healthy woman who was admitted last week because my troponin levels were 2.17 four times (every 6 hours) I had mild chest discomfort, but had been having problems breathing when I went up a flight of stairs. I exercise on an elliptical trainer 4 days a week and thought I was a picture of health. My bp runs 100/60, my heart rate is 65-70, my heart cath is completely clear, echo cardiogram is perfect, no blood clots in legs, no pulmonary embolisms........what in the heck caused this? Is 2.17 really that high?
[|AI|]  Hello Ma'am After going through your medical details I can understand your concern which is obvious when someone follows a healthy lifestyle. Troponin although specific to cardiac muscles but can also be raised in other conditions like Sepsis (infection), atrial fibrillation, myocarditis, myocardial contusion and Renal disease. In your case on an in tail assessment of your symptoms and raised troponin definitely goes in favor of a Heart attack. But then all your cardiac tests came out to be normal, this also happens in some patients and is known as coronary revascularization which happens due to bodies self-defense mechanism. Maybe that has happened in your case also. Yes a Top of 2.17 is significant. I would like to suggest you to start taking a tablet of baby Aspirin daily. You can also discuss this with your treating cardiologist. I wish you good health