I had an heart attack two months ago and it was confirmed that it was an M.I. I had an angioplasty operation as one of the arteries was blocked. (RCA).
My insurance company wants know what was my troponin T and AccuTnl levels during my heart attack. These figures were never disclosed to me during my hospitalisation or discharge. Therefore I have today given my consent to them to contact my cardiologist and get the figures.
My question is that, Can Troponin T be more than 1.0 ng/ml and AccuTnl > 0.5 ?
what are the usual figures on average for a person who had an heart attack? (during the attack not after the recovery)
It takes about 30 minutes for the troponins to go up during the time of the heart attack, so these labs aren't used for diagnosing heart attacks, instead they are used to confirm it. At the time of the heart attack the most important findings are the ECG findings and the patient's symptoms. Those decided whether a large enough territory of the myocardium is at stake and whether a patient needs to be taken for an emergent intervention vs urgent intervention. Tropnonins may never be checked at the time of the heart attack, and even if checked within 30 minutes of symptom onset they may be normal (as stated above). That does not mean that a heart attack isn't ongoing, it just means that it's early on during its course and not enough enzymes have leaked into the blood stream. Once the heart attack has been going on for about 4 hours, these enzymes are elevated significantly in the blood, but they don't peak until about 24 to 48 hours post heart attack. The rise in troponins isn't uniform amongst different patient so there is no standard as to a typical rise during an MI. Any elevation in these enzymes is however considered a sign of a recent heart attack.
Copyright 1994-2018MedHelp.All rights reserved. MedHelp is a division of Vitals Consumer Services, LLC.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.