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What Do My Lab Test Reports Indicate?
Question: About six months ago I went to an urgent care due to some mild pain upon breathing in. I had an ECG done (attached, indicates that it's normal) and chest CT scan (also normal), as well as various heart-related bloodwork (also attached). My results showed a borderline high troponin-I result (.05ng/ml with .01-.05 reference range) with quite low BNP (5.0pg/ml with .01-100 reference range)? CK-MB and myoglobin both well within reference range. The doctors never mentioned anything to me about the troponin-I and I've only learned what it is in the past few days from googling. I ordered another troponin-I test for myself through an online provider and the results are now much lower, at <.01 ng/ml.
Even though this troponin-I value has dropped to the lowest possible number, and even though none of the other cardiac tests were elevated when evaluated 6 months ago, could I have heart failure??
Even though this troponin-I value has dropped to the lowest possible number, and even though none of the other cardiac tests were elevated when evaluated 6 months ago, could I have heart failure??
Brief Answer:
Your symptoms are not related to any cardiac disorders.
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
I carefully passed through your question and reviewed all your uploaded test reports and would explain that all your performed tests are within the normal limits and your symptoms do not seem to be cardiac related.
You should know that troponin test is not very specific for the heart and should always be correlated with the symptoms of the patient and ECG findings (which is normal). This test is performed to investigate for myocardial ischemia or coronary artery syndrome.
While BNP is used to investigate for possible heart failure.
Even though troponin levels have resulted in the upper limits of normality, this does not indicate anything serious.
So just relax and do not think about it.
These tests do not indicate any heart failure or coronary artery disease.
If the chest pain occurs again, I would recommend performing a cardiac stress test, in order to be sure that you do not have coronary artery disease.
From the other hand, you should know that this symptomatology is not characteristic of any cardiac disorders. It is typical of exctracardiac causes like musculo-skeletal pain or inflammation, which are quite benign common causes of chest pain.
Hope to have clarified some of your uncertainties!
Feel fee to ask any other questions whenever you need!
Kind regards,
Dr. Iliri
Your symptoms are not related to any cardiac disorders.
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
I carefully passed through your question and reviewed all your uploaded test reports and would explain that all your performed tests are within the normal limits and your symptoms do not seem to be cardiac related.
You should know that troponin test is not very specific for the heart and should always be correlated with the symptoms of the patient and ECG findings (which is normal). This test is performed to investigate for myocardial ischemia or coronary artery syndrome.
While BNP is used to investigate for possible heart failure.
Even though troponin levels have resulted in the upper limits of normality, this does not indicate anything serious.
So just relax and do not think about it.
These tests do not indicate any heart failure or coronary artery disease.
If the chest pain occurs again, I would recommend performing a cardiac stress test, in order to be sure that you do not have coronary artery disease.
From the other hand, you should know that this symptomatology is not characteristic of any cardiac disorders. It is typical of exctracardiac causes like musculo-skeletal pain or inflammation, which are quite benign common causes of chest pain.
Hope to have clarified some of your uncertainties!
Feel fee to ask any other questions whenever you need!
Kind regards,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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