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The Authors' reply We appreciate Dr Orde’s interest in potential mechanisms underlying the raised circulating troponin levels in COPD.1–4 Based on his own work,4 Dr Orde speculates that right ventricular myocardial necrosis and inflammation may represent a possible mechanism for troponin rise in stable COPD and COPD exacerbations. The study by Orde et …
Contributors All authors contributed equally to this paper.
Competing interests None.
Provenance and peer review Commissioned; internally peer reviewed.