Heart Disease Community
elevated heart enzymes
About This Community:

This patient support community is for discussions relating to angina, angioplasty, arrhythmia, bypass surgery, cardiomyopathy, coronary artery disease, defibrillator, heart attack, heart disease, mitral valve, pacemaker, PAD, stenosis, and stress tests.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

elevated heart enzymes

My husband went to the hospital this weekend for chest pain, shortness of breath and dizziness. EKG came back fine so they took some blood. They then told us that his blood test results said his heart enzyme level was 1.9 and he probably has a mild heart attack and there was some damage to his heart. They told us they were putting him in the ICU and hooked him up to a couple iv's with medications. Three hours later they re did the blood test and this time it came back 0.06. They stopped the iv's and all medications and told us that he did not have a heart attack and there was no heart damage. He is 38 years old, a smoker, and never had heart or blood pressure problems in the past. Why would his heart enzyme level be so high and than 3 hours later it is fine? We are very concerned.
Related Discussions
5 Comments Post a Comment
Blank
159619_tn?1318997813
The amount of cardiac troponin in the blood initially rises in about 4 to 6 hours. Peak concentrations appear at 18 to 24 hours after symptoms of a cardiac event begin. My guess is that because your husband's numbers dropped so dramatically in 3 hours they determined the elevated troponin levels were not due to a cardiac event.

Many diseases, such as sepsis, hypovolemia, atrial fibrillation, congestive heart failure, pulmonary embolism, myocarditis, myocardial contusion, and renal failure, can be associated with an increase in troponin level as well. Did they give you any thoughts on why they felt his troponin was elevated?

Jon
Blank
995271_tn?1408549100
That's not uncommon with marginal levels.  

He should still get a full workup by a cardiologist.  don't treat the ER visit as a diagnostic session.  far from it, they are there to deal with emergencies and decided he was not.

Smoking is the worst risk factor for CAD in my humble opinion.  Start with his PCP and some blood work, lipids, enzymes and maybe his PCP can get him into a cardiologist sooner.
Blank
Avatar_f_tn
No, the ER said they could not explain it. Just told us to follow up with a cardiologist. The cardiologists in my area (Myrtle Beach) all say 2 to 3 month wait and we don't have a PCP here. We are moving back to Connecticut and I am thinking about calling our old PCP from there and asking if they can help get him into a Dr. there.
Blank
Avatar_f_tn
I also should have mentioned that he felt like his heart was beating super fast and really hard. He said it felt like his heart was going to beat right out of his chest. Today, he feels like the left side of his chest is bruised.
Blank
159619_tn?1318997813
That actually makes sense. It is common for an elevated heart rate to cause some minor, temporary damage to the heart muscle which would increase the troponin levels temporarily so it is very possible that the tachycardia was the cause. It could have been triggered by stress, panic attack or some external factor like caffeine.

In any case, I would follow up with a cardiologist.

Wishing you the best,

Jon
Blank
Post a Comment
To
Top Heart Disease Answerers
63984_tn?1385441539
Blank
Flycaster305
97303, OR
976897_tn?1379171202
Blank
ed34
watford, United Kingdom
159619_tn?1318997813
Blank
erijon
Salt Lake City, UT
Avatar_f_tn
Blank
skydnsr
329165_tn?1412685860
Blank
Smiley2000
Australia
Avatar_m_tn
Blank
Occupant
IL
MedHelp Health Answers
Blank
BloodPressure Tracker
Monitor Your Blood Pressure
Start Tracking Now
Blank
HeartRhythm Tracker
Track your Heart Condition
Start Tracking Now
Recent Activity
Avatar_f_tn
Blank
ejoli commented on can-do-man's status
15 mins ago
Avatar_f_tn
Blank
Marisolsanchez commented on Abdominal Aortic Aneu...
5 hrs ago
11497835_tn?1418839592
Blank
SRS2 commented on Sleep Apnea and Night...
10 hrs ago
Heart Disease Community Resources
RSS Expert Activity
469720_tn?1388149949
Blank
Abdominal Aortic Aneurysm-treatable... Blank
Oct 04 by Lee Kirksey, MDBlank
242532_tn?1269553979
Blank
The 3 Essentials to Ending Emotiona...
Sep 18 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Control Emotional Eating with this ...
Sep 04 by Roger Gould, M.D.Blank
Top Heart Disease Answerers
63984_tn?1385441539
Blank
Flycaster305
97303, OR
976897_tn?1379171202
Blank
ed34
watford, United Kingdom
159619_tn?1318997813
Blank
erijon
Salt Lake City, UT
Avatar_f_tn
Blank
skydnsr
329165_tn?1412685860
Blank
Smiley2000
Australia
Avatar_m_tn
Blank
Occupant
IL