In recent years the use of troponin testing to monitor myocardial damage has become more pervasive and prominent, replacing the old style CK-MB measurement. Troponin elevation is a marker of cardiac injury and high risk, it is also raised in a minority of acute coronary syndrome patients. However, it is important for clinicians to realise that a single rise in troponin levels is of indeterminable significance. An appropriate series of tests over time, fitting in with the right clinical …