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Troponin can be elevated with inflamation of the heart covering or muscle.
Pericarditis, or myocarditis can cause similar symptoms and raised troponin.
Thse conditions do not affect the heart blood vessels.
And echocardiogram may miss the diagnosis initially.
The inflammation in the heart can last for several weeks.
The diagnosis of myocarditis is made by the endomyocardial biopsy( EMB).
THis is performed by a cardiologist.
Myocarditisc can be caused by the iral infection, or bacterial infection, or by the autoimmune reactions ( body is attacking its own tissue for unknown reasons).
Myocarditis typically affects young adults with no other imaging findings but with elevated troponins and symptoms as you described.
Usually the prognosis is good in mild cases.
There is no significant risk of heart attack.
However, you do need to see a cardiologist to establish the diagnosis by the endomyocardial biopsy.
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