Aim: The aim of this study was to determine the causes of troponin elevation and adjunctive diagnostic evaluations in childhood. Methods: Aged 0-18 years pediatric patients diagnosed with troponin elevation in the Adnan Menderes University hospital between January 2014 and January 2017 were included in the study. Retrospectively reviewed the files. Patients' ages, gender, weight, height information, complaints, application form, diagnostic evaluation methods were reviewed. The diagnoses that led to the elevation of troponin were identified. Results: A total of 55 children (24 girls, 31 boys) were evaluated. It was determined that the patients were most frequently had emergency services. Majority of the patients were asymptomatic but the most frequent cardiac symptom was chest pain. Patients were usually referred to our center for different reasons from cardiac complaints such as consciousness alteration, vomiting, insect insertion. The most common causes of troponin elevation are; CO intoxication in 19 patients (34.5%), scorpion insertion in 17 patients (30.9%) and myocarditis in 6 patients (11%). Electrocardiography (ECG) was found to be the most helpful diagnostic method in patients by providing had 25.5% pathologic findings. It was determined that coronary angiography was performed in only 3 patients and the results were normal. Conclusion: The most common causes of troponin elevation in childhood are toxic and inflammatory myocardial damage. ECG is the most helpful evaluation method for diagnosis. Coronary angiography should only be performed on a selected patient group.