TY - JOUR T1 - The relevance of periprocedural troponin rise: the never ending story! JF - Open Heart JO - Open Heart DO - 10.1136/openhrt-2017-000590 VL - 4 IS - 2 SP - e000590 AU - Georg Marcus Fröhlich AU - David Manuel Leistner Y1 - 2017/06/01 UR - http://openheart.bmj.com/content/4/2/e000590.abstract N2 - High-sensitivity troponin is—per definition—highly sensitive to detect all sorts of myocardial injury. This does not necessarily mean that permanent damage has been done to the myocyte. It is known that the troponin level may well be elevated after exceptional physical exercise, like in marathon runners.1 Of course, long-term prognosis will not be compromised in these athletes, but also in non-coronary conditions like aortic valve or mitral valve disease, elevated troponin values were detected, with different implications on prognosis (table 1).View this table:In this windowIn a new windowTable 1 Troponin as a prognostic markerA variety of studies addressed the frequent finding of elevated biomarker values following coronary angiography and percutaneous interventions with or without stent deployment in patients with stable coronary artery disease.2–4 Potential mechanism of periprocedural infarcts are (1) side branch occlusion, (2) distal embolisation, (3) prolonged or multiple balloon inflation, (4) coronary dissection with slow flow or (5) microthrombi and no reflow.5However, the … ER -