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.?"

[jfhbiff]

Thank you for the response clover43210.  I am not sure which enzymes they were.  I didn't have any other injuries.  Before he heart cath they told me the most likely scenario would be that I would need stents put in.  Other scenario could be that I would need open heart surgery.  None of these were needed.  They have sent my results to my GP and I have an appointment tomorrow to see him.  I will see if the report they sent him tells which enzymes were elevated.  If my cardiologist has no idea what happened, I am not sure how my GP will know anything different.

[thiscatiscurious]

What medication were you prescribed?  

[JetBay]

Anyone have a left bundle block? The left side of my heart is weak.  PVC's one every 10 heartbeats. Born with a bridge, which means main artery on the outside of the heart goes along for a while then goes in the heart and back out. Genetic defect. Otherwise healthy. Taking beta blocker, baby aspirin, fish oil.

[Soundrew]

Dramlouie, if you haven't stumbled on it yet, you should google tako-tsubo syndrome. I had a similar incident earlier this year (elevated enzymes but negative angiogram) and it was one of the things my cardiologist suggested. As diagnosis He said some people, under great duress (like death of a loved one, divorce, etc) can actually have this happen.

[ed34]

There are more episodes like yours than you realise, where you go to hospital have an angiogram and no blockage is found. I had the same thing with my last attack a few months ago. It was explained to me that sometimes a clot may form and it disperses quickly enough to prevent damage. The administering of GTN, aspirin and clopidogrel can overcome this quite quickly. You were likely also given an injection of Klexane in the abdomen to thin the blood even more and this can cause some bruising in the area. If you are on Aspirin now, the is much less likely to happen again and if you are also on Clopidogrel then the risk is even less. I have no idea what your diet is like, but if you had a fairly high natural clotting factor, eating lots of vitamin K can increase this quite substantially.

[046]

Gracias :} will do ...