Heart results

[remar]

I live in the states and my dear friend lives in the UK. I'm not sure what the numbers mean there. We would like to know if he indeed have a heart attack. And, can enzyme levels be raised for any other reason besides a heart attack? He does have hypertension.
ECG showed ST elevation in leads 111, a VF, V1 to V3 with ST depression in 1 and a VL. But, repeat ECG showed no significant elevation.
Enzymes were elevated with a peak CK of 774 with a 10%  MB fraction.

[remar]

Thank you Ed. There was no intervention at all, no stents or any other kind of surgery. Yes, they did prescribe anticoagulants.
As far as I know liver and kidney function were fine. I will ask him that question again to be sure though.  

[ed34]

With a 10% constitution of MB markers within the total, it certainly looks like heart muscle was being damaged. This is backed up by the ST elevation on the ECG. I assume the problem resolved itself with anticoagulant medication if the ECG returned to normal. Other injuries or liver/kidney damage can raise CK enzymes, but the way the do the tests, comparing cardiac types against the total, it's a very sensitive and accurate marker for heart attacks.