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©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Cardiol. Nov 26, 2025; 17(11): 113411
Published online Nov 26, 2025. doi: 10.4330/wjc.v17.i11.113411
Published online Nov 26, 2025. doi: 10.4330/wjc.v17.i11.113411
Troponin elevation in supraventricular tachycardia: A narrative review
Bülent Özlek, Department of Cardiology, School of Medicine, Mugla Sitki Kocman University, Mugla 48000, Türkiye
Veysel O Tanık, Department of Cardiology, Ankara Etlik City Hospital, Ankara 06100, Türkiye
Süleyman Barutçu, Department of Cardiology, Mugla Sitki Kocman University, Mugla 48000, Türkiye
Author contributions: Özlek B and Tanık VO conceived the review topic, performed the literature search, prepared the initial draft, and contributed substantially to the interpretation and critical revision of the manuscript; Barutçu S contributed to data interpretation, drafted selected sections of the manuscript, and revised the text for its intellectual content; all authors reviewed and approved the final version of the manuscript.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Bülent Özlek, MD, Associate Professor, Lecturer, Senior Researcher, Department of Cardiology, School of Medicine, Mugla Sitki Kocman University, Kotekli Mahallesi, Mugla 48000, Türkiye. bulent_ozlek@hotmail.com
Received: August 25, 2025
Revised: September 6, 2025
Accepted: October 21, 2025
Published online: November 26, 2025
Processing time: 88 Days and 18.6 Hours
Revised: September 6, 2025
Accepted: October 21, 2025
Published online: November 26, 2025
Processing time: 88 Days and 18.6 Hours
Core Tip
Core Tip: Supraventricular tachycardia (SVT) is a frequent emergency presentation where troponin elevation is common but often misinterpreted. This narrative review highlights that in adult patients with paroxysmal SVT, elevated troponin usually reflects supply-demand imbalance or myocardial stretch rather than plaque rupture. Although troponin testing may occasionally reveal underlying coronary artery disease or acute coronary syndrome, most elevations have limited prognostic value. Overuse of troponin can drive unnecessary admissions and procedures; therefore, selective, risk-based testing represents the most appropriate and patient-centered approach.