Does lactic acidosis always accompany troponinemia?

From the Research

Lactic Acidosis and Troponinemia

• There is no direct evidence in the provided studies that lactic acidosis always accompanies troponinemia.
• Lactic acidosis is a condition characterized by an excess of lactic acid in the body, which can result from various causes, including tissue hypoperfusion, shock, and certain medications 1, 2, 3, 4, 5.
• The relationship between lactic acidosis and troponinemia is not explicitly discussed in the provided studies.
• Troponinemia refers to the presence of troponin in the blood, which is often associated with cardiac damage or injury.
• While some studies suggest that lactic acidosis can occur in patients with cardiac conditions, such as cardiogenic shock 3, there is no clear indication that lactic acidosis always accompanies troponinemia.

Causes of Lactic Acidosis

• Lactic acidosis can result from various causes, including:
  • Tissue hypoperfusion or shock 1, 3
  • Certain medications, such as β-adrenergic agents 2
  • Diabetes mellitus 1
  • Liver failure 1
  • Hematologic malignancies 1, 5
  • Congenital enzyme deficiencies 1
  • Thiamine deficiencies 1
  • Alcohol abuse 1

Treatment and Prognosis

• The treatment of lactic acidosis typically involves addressing the underlying cause, such as restoring adequate tissue perfusion or discontinuing certain medications 4, 5.
• The prognosis of lactic acidosis depends on the underlying cause and the severity of the condition, with higher lactate levels and lower pH associated with increased mortality 3, 4.