Elevated Heart Enzymes. No heart attack.

[jfhbiff]

I am a 43 year old male that was admitted to hospital last week after experiencing chest pain.  Blood test results indicated elevated heart enzymes.  They gave me a heart cath and the result showed a healthy heart with no blockages.  They decided to do a scope into my gastro system and discovered I had ulcers in my esophagus, a fatty liver and a polyp in my gall bladder.  Advice from the stomach doctor was to lose weight and take Nexium which makes sense.   I asked if any of this would have caused my heart enzymes to elevate.  He said "no", and it doesn't make sense why my heart enzyme levels rose.  I believe my heart enzymes finally came down after a couple of days and I was released home.  The heart doctor has sent me letters explaining how to look after myself after a heart attack and recommended me to go to cardiac rehab.  I have a problem with this because I get the impression my heart is fine, or that is what they told me.  It is obvious I didn't have a heart attack.  I am relieved I am fine but it is bugging me as to why my heart enzymes rose.  None of the doctors seemed to have a clue.  They just say I had a heart attack which makes absolutely no sense.  I believe the doctors just put me in the too hard basket and told me I had a heart attack because they had no idea how to investigate further.  My blood pressure seemed fine, my heart rate was fine, my oxygen saturation was fine.  This really leads me to my only question, "why am I testing positive for a heart attack with elevated heart enzymes and the heart cath shows a healthy heart.?"

[nicki13378]

A clarification, why would these be elevated when his heart is fine? Sorry for the typo. Thank you

[nicki13378]

My dad just was released from the er with elevated Tropopin levels. And extremely high blood pressure. 3 weeks ago he had an angiogram. His heart was fine. But they did find that he had crazy high blood pressure. Why would these be elevated ifmhisnehart is fine. He was suffering from a horrible bout of the stomach flu the day this happened. Could that have helped it rise? S frustrated because the doctors didn't tell my mom any good info only that the angiogram probably didn't cause these to rise. Yet it says that this test can in fact raise Tropopin levels. Thanks for any help- a frustrated daughter.

[redrobin2013]

I sent you a message but I am in almost an identical situation as you. Diagnosed as a heart attack. They did a cath, I had no blockage, normal EKG, normal blood pressure, normal cholesterol, normal stress test. Only thing not normal was an elevated Troponin level. I am only 36 and pretty healthy.  Doctors say I had a heart attack and they don't take time to listen to my case or really stop and try to figure it out. So frustrating!! now I have this on my medical record saying I had a heart attack when I am pretty sure I didn't!!!

[inwords]

http://www.health.harvard.edu/blog/stress-cardiomyopathy-a-different-kind-of-heart-attack-201509038239

[ed34]

If you echo was normal, then you would have to conclude that you didn't have a heart attack. A myocardial infarction means the blood supply was cut off from part of the heart and would result in some heart muscle death. This would look pretty obvious on the echo, showing wall movement is abnormal.

[jfhbiff]

Thanks ChatterAlly.  I am starting to think it would be a mistake to see my current doctors.  Nothing makes sense.  My heart rate and blood pressure were fine.  I am going to think about seeing another doctor.

[ChatterAlly]

"discuss this with your doctor" Typing too fast and left that out.