1 When the gallstones travel out of the gallbladder into the bile ducts, they block the opening that drains bile and enzymes. The bile and enzymes back up into the pancreas and cause swelling.  Genetics may be a factor in some cases. Sometimes, the cause is not known.
An increased level of the cardiac protein isoform of troponin circulating in the blood has been shown to be a biomarker of heart disorders, the most important of which is myocardial infarction. Raised troponin levels indicate cardiac muscle cell death as the molecule is released into the blood upon injury to the heart.
Helpful, trusted answers from doctors: Dr. Koch on what is troponin: Troponin is a type of blood enzyme test that detects heart muscle breakdown. The troponin level can go up with heart attacks (myocardial infarctions).