IHD or Ischemic Heart Disease is one of the major ailments nowadays. It is very essential to understand whether signs & symptoms of Ischemia are Acute in origin or Chronic in origin. Acute Ischemia can prove to be fatal, whereas Chronic Ischemia gives good amount of time to be treated. As a Learner, one needs to understand management of Ischemia for which type of Ischemia needs to be evaluated. Role of Troponin I is very essential in diagnosing Acute Ischemia in incidences of Acute Myocardial Ischemia.