cardiac markers - CK 365 / tropon 0.06

[Michaelccc]

36 year old male. 5'5 170 pounds. pack a day smoker for 16 years. SLIGHTLY high cholestrol levels. extremely stressed out person. chest discomfort for about 2 years. very stressed and feel pressure in my chest. Have been treated for GERD.  Have suffered from anxiety for 10 years and i know that symptoms it usually produces. it does not usually give me chest pains and such. i have had a stress test and echo about 6 months ago and told i was fine. i went to ER this past weekend after getting  into a huge arguement with girlfriend and had major chest discomfort. i had about 3 shots of vodka that night even though i hardly ever drink.   anyway they did a ekg and it showed abnormal st levels. but that seems to be norm for me over the years.. what i am concerned about is the following. my cardiac markers here they are listed



CK                     365  H
CKMB                1.1
TROPON- I          0.06

the only abnormal thing in my GENERAL CHEMISTRY outside of the CARDIAC MARKERS was creatinine  at   1.2 f  . I was told this was a slightly abnormal  for my kidney function and was told to follow up. which i did couple of days later and it went back to normal

i was discharged from hosp within a few hours and told everything is fine . i asked the ER doc why my CK levels were at 365 and she said "its nothing its musle".

i'm confused. read about ck levels on this site and most posts say that CK is one of the more important markers of heart damage

1.  do my CK results indicate a "mini heart attack" or  ischemia ?

2. does my tropon-I level indicate any cardiac cause? is 0.06 considered slightly elevated? should that number be at 0.0 for a healthy person? if it is considered slightly elevated would that mean i had cardiac ishemia or mild heart attack or  something?

3. are the docs i have seen missing something?

4. could CK level at 365 be caused from something that is not cardiac ? (heniated disk in my neck from accident 10 years ago)


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[LukeL]

The best thing you can do now is stop smoking. Smoking increases the oxygen demand on your heart and causes an immedaite rise in BP and heart rate.

[Michaelccc]

this is very confusing. i have been looking around this site and reading stuff about troponinns now and most posts on here say  anything above 0.04 is gray area. my troponins were 0.06  ck 365 and ckmb 1.1.    i mean did i or did i not have heart cell damage. if not then why is my troponin according to so many posts on here slightly elevated? and why is my ck slightly elevated too?  i mean this is really starting to bug me out here.  am i at risk for heart attack. i am a type A personality and i realize a lot of type A's get heart attacks. that is why i'm worried cause i'm a very high strung person and worry about my heart.

[Cleveland Clinic]

CK's are nonspecific, but the fact that CKMB's, which are heart specific, were normal points away from a heart attack.  Usually troponin I greater than 0.1 is considered abnormal.  Of course, that varies from one hospital to another depending on the troponin assay that the lab there uses.  Troponin is usually never zero.

I don't think the docs are missing anything.  Elevated CK could just be from working out or hard labor.  Elevated CK aren't associated with herniated disks.



  

[LukeL]

I am under the impression that there are many types of CK markers. Some indicate heart damage and some indicate muscle damage.