challenging the assumption raised troponin are not solely due to myocardial infarction

Write a reflective essay based on a patient who was admitted with shortness of breath (history of COPD), the blood test showed a raised troponin indicating myocardial infarction, no ECG changes were present, the patient was subsequently diagnosed with H1N1 flu. some questions to be asked... was the raised troponin due to the patients respiratory distress and viral infection what is the link between the two what other diagnostic tools are available to diagnose a myocardial infarction in conjunction with troponin is the troponin gold standard, what else is available