How to manage elevated troponin I levels?

Question

Hello doctor,

My dad had a bypass surgery eight months ago. His creatine kinase level is now 914 U/L. He does not experience chest pain or any other problems. We discovered this during a routine blood test. Could this be related to a heart condition? He is currently taking medications for his heart, high blood pressure, and diabetes. I am attaching his latest reports.

Please advise.

Answer 1

Hello,

Welcome to icliniq.com.

I reviewed the files (attachment removed to protect patient identity). If his CK-MB (creatine kinase-MB) levels are normal, then his heart should be fine. CK-MB is more specific for heart issues than regular CK. Additionally, his bilirubin levels are elevated, so I would suggest seeking the opinion of a gastroenterologist or hepatologist.

Answer 2

Hello,

Welcome back to icliniq.com.

Yes, it is elevated and is more specific for cardiac damage. Since your dad is diabetic, he may not experience any angina. I suggest getting an echocardiogram to check for any new wall motion abnormalities that could indicate a coronary event in a specific territory. Additionally, please get an ECG (electrocardiogram) to rule out any arrhythmias. Very rarely, extreme exertion can cause an elevation in troponin I levels. I mention this due to the high creatine kinase values, which can occur with muscle damage.

I hope this helps you.

Thank you.