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What Does This Blood Report Indicate?

Posted on Thu, 2 Feb 2017

Question: my friend was experiencing chest pains, went to the hospital and the results of a blood test were as follows:

Cardiac profile: CPK 348 u/l ref range (38-174)
CKMB 21 u/l ref range ( 7- 25)

Immunology :
Troponine T 0.008 ng/ml ref range (0.127 - 0.249)

what does this mean??

Answered by Dr. Rishu Saxena (54 minutes later)

Brief Answer:
It was not a myocardial infarction,Though it can be unstabstable angina!

Detailed Answer:
Hi,
Firstly thanks for choosing health care magic for your query!

As per your query,They are all cardiac enzymes.Cardiac enzymes are present inside the muscles of the heart,When there is a myocardial infarction(heart attack),Cardiac muscles are killed(necrosed) due to lack of blood supply,Hence the enzymes present in them are released into the main blood stream,an estimate of these enzymes help us to differenciate between unstable angina and myocardial infarction.

CPK and CPK MB are highly unspecific for cardiac tissue injury and raised serum level is seen in a number of condition like skeletal muscle injury,neuronal injury ,Hence an increase is their level does not have any significance according to the latest trials.

Trop I and Trop T are the most specific enzyme to rule out cardiac ischemia and myocardial infarction at present.Your trop t levels are Below the normal ,Hence likelihood of myocardial infarction are very low,However the pain can be because of unstable angina.A thorough cardiac investigation should be done.

As per you question this means that it was not a heart attack!(Your trop and CPKmb both are normal) However;A stress thallium should be done to rule out coronary artery disease.

Advice
Repeat trop T after 6 hours
Stress thallium.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Rishu Saxena (3 hours later)

i did not mention this before but an ecg was also done which the doctor said was normal.... my friend also suffers with back pain and insomnia could these three conditions be related in any way?? all these conditions are ongoing and not one offs..

Answered by Dr. Rishu Saxena (6 hours later)

Brief Answer:
Every thing is related to each other all three canpresent with same symptom

Detailed Answer:
Hi again,
As ecg and cardiac enzymes are normal it was definitely not a heart attack .
Yes back pain can be because of cervical spondylosis.Cervical spondylosis can be a cause of chest pain.Insomnia leads to anxiety and anxiety can cause a panic attach ,Which mimics chest pain.All of them are linked.Initially thorough investigations should be done to ruke out coronary artery diseases,After that treatment should be given for insomnia and back pain.
Thank you!

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Rishu Saxena (33 hours later)

My friend is in the construction industry, should a mild exercise routine be started to help with symptoms before consultation with a doctor? If so what form of exercise would be suggested?

Answered by Dr. Rishu Saxena (4 hours later)

Brief Answer:
Details below!

Detailed Answer:
Hi again
30 minutes of brisk walking should be done everyday.
If possible moderate exercise should be done three times a week atleast.
Rest a thorough investigation should be done as early as possible to rule out the cause if the problem.
A low dose anti anxiety medicine like clonazepam can be taken for few weeks till tests are done.

Adviced
X ray cervical spine AP and LATERAL
2d echo
tread mill test

Follow up with reports!

Above answer was peer-reviewed by : Dr. Raju A.T