Ok, I went to the emergency room with symptoms of a heart attack.... indigestion and incredible pain between the shoulder blades. They don't think that it was a heart attack but I will have a stress echo tomorrow to make sure, but my ast/alt levels were high... ast was 148 and alt was 68. Everything I read says that this is due to advanced alcoholic liver disease, but I don't drink. My doctor has ordered more test for hepatitis, etc. Can a ast/alt ratio over 2 be something other than alcoholic liver disease?