how can my father who had a double bypass surgery reduce troponin in his system?doctors ordered strict bedrest, but he refuses to listen! after surgery his mental status changed and i feel he is unable to make the right choices in regard to his health now, he is very forgetful now and sometimes i believe he may have had some kind of brain damage from the cardiac arrest he had four times in hosp
Hello thanks for posting at Chat Doctor. Troponin is a component of the heart muscle fiber. When a person suffers from a heart attack, the heart muscle fibers get damaged releasing troponin in the blood stream. These enzyme are used to determine whether the patient has a recent heart attack. It disorders from blood within 7-10 days of a heart attack. It does not remain in blood after 10 days hence there is nothing that should be done decrease its level. If he has got persistent detection of troponin in his blood, and if the levels are on increasing trend, then it is possible that there is an ongoing heart attack or a re attack called as reinfarction.  If it has a decreasing trend then there is nothing to work about and or will disappear eventually. Going by your description of change in mental status and forgetfulness, there is a strong possibility of brain damage during the cardiac arrest. These cognitive changes will mostly remain. Here Alzheimer's disease should also be excluded because of similar symptoms in Alzheimer's. Please see a neurologist for the same. Wishing him for healthRegards