Can amyotrophic lateral sclerosis chronically elevate troponin T?

A 57-year-old woman with progressive amyotrophic lateral sclerosis (ALS) presented repeatedly with atypical chest pain over a period of 4 years. Her initially normal cardiac troponin T (cTnT) value became progressively elevated during subsequent visits in the absence of clinically overt heart disease, and in the absence of alternative explanations for cTnT elevation. In this one patient there appeared to be a relationship between her rising levels of cTnT and increasing severity of ALS.