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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Cause Of Chest Pain?

I had chest pain went for a ecg that showed normal the doctor took blood to check if it was my heart the blood
result came and 1 result showed positive i asked the doctor is that now to say i have a heart problem she said it
could be that there is a vain blocked or that i had a light heart attack they also asked me if i have pain on my stomach i said i have gastritis and do take Pantocid 40 then they did the blood again and then told me the result are normal what now about the first result please explain to me.
Wed, 30 Sep 2015
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Cardiologist 's  Response
Hello,
In most probability they did a troponin test in your blood, because the 1st test was just borderline they must have repeated the test after 8-12 hrs.
Now for troponin rather than a single reading, the trend is what is important , if it's on rising trend than in most probability there is ongoing heart damage. A single positive test on mild degrees can be positive because of number of non cardiac reason like kidney problem, post heavy exercise, some infection and number of other causes. So the test result is always interpreted in view of other supporting clinical parameters.
However as a precaution you can opt for a treadmill stress test, as non Invasive alternative to find an occult cardiac problem.
Hoping I could help.
Regards Dr Priyank Mody
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What Is The Cause Of Chest Pain?

Hello, In most probability they did a troponin test in your blood, because the 1st test was just borderline they must have repeated the test after 8-12 hrs. Now for troponin rather than a single reading, the trend is what is important , if it s on rising trend than in most probability there is ongoing heart damage. A single positive test on mild degrees can be positive because of number of non cardiac reason like kidney problem, post heavy exercise, some infection and number of other causes. So the test result is always interpreted in view of other supporting clinical parameters. However as a precaution you can opt for a treadmill stress test, as non Invasive alternative to find an occult cardiac problem. Hoping I could help. Regards Dr Priyank Mody