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Cardiac destruction may be ischemic but not be as a consequence of overt epicardial coronary artery disease. As an example, with left or appropriate ventricular hypertrophy, There exists generally enhanced wall worry and also a relative imbalance amongst oxygen supply and need. This might be the reason for troponin elevations in individuals with and without concomitant coronary artery disease who definitely have hypertrophic obstructive cardiomyopathy, aortic stenosis, acute pulmonary embolism, Persistent pulmonary hypertension and congestive coronary heart failure.

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