Is cardiac troponin test necessary for non angina chest pains.Is ECG enough to diagnose nonangina pain?
In younger age groups (say between 20 to 30 yrs.), without any history/presence of diabetes, hypertension, or any other organic heart diseases like congenital heart, mitral stenosis etc., a normal ECG reading after a pain chest may be sufficient to exclude an imminent angina pectoris, to restore confidence and prevent the patient to go into a cardiac neurosis (angina innocence), which is quite common. However, as the organ involved is the heart (most vital organ), the examining cardiologist should exercise due caution to rule out the condition by keeping the patient under observation, repeat the ECG after some days etc., where some times an ECG after exercise, a treadmill test, or a dopamine (troponin) test under his direct supervision may be very useful and essential.
