Letter

Myocardial infarction

We need to address the issue of “mild troponinaemia”

BMJ 2009; 338 doi: 10.1136/bmj.b769 (Published 24 February 2009)
Cite this as: BMJ 2009;338:b769

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  1. Malvinder S Parmar, associate professor1
  1. 1Clinical Sciences Division, Northern Ontario School of Medicine, 640 Ross Avenue East, Suite E, Timmins, ON, Canada P4N 8P2
  1. atbeat{at}ntl.sympatico.ca

    The new definition of myocardial infarction (MI) is timely but does not address the main issue of mild troponinaemia and overdiagnosis.1 2 Slight increases in troponin are often seen in patients with multiple comorbid conditions such as diabetes and heart or kidney failure who present with dyspnoea, infections such as pneumonia, exacerbation …

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