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My father had a silent heart attack. Please help.
Query: Hello doctor,This query is for my dad who is 75 years old. He has been seeing the same doctor who has recommended the same tests to be done for each follow-up since the past five years. Initially, he saw him once a year, recently it has become quarterly. I have uploaded a copy of the blood test repo... Read Full »
Answer: Hello, Welcome to icliniq.com. So he did not have any symptoms, and this was detected on routine blood testing, right? His troponin is elevated here (attachment removed to protect patient identity), so it suggests he had a heart attack. So such patients are admitted for observation and administr... Read Full »
Does a raise in troponin levels cause mortality?
Query: Hi doctor, Six months back, I had an echocardiogram and a CT angiogram. My initial troponin T level was 0.44 ng/mL. After six hours it dropped back down to below 0.10 ng/mL. My test results from the CT angiogram were normal and the calcium level was 0 mg/dL. My echo was also normal. I wore a monitor... Read Full »
Answer: Hi, Welcome to icliniq.com. First of all I would like to make it clear that raise in troponin level is not criteria whether a person will live for one to three years. Somebody has totally misguided you and you are getting panic unnecessarily. Secondly, I will clear your doubt step by step. But, b... Read Full »
My father had a heart attack. Please suggest the treatment.
Query: Hello doctor, Actually, my father has just had the first attack of heart and his troponin-T test value is 1.76 ng/ml. Also, his echo test reports are showing the TR and MR results in higher. He is planning to have angiography but I do not think that he should stop there. So please guide him. I need ... Read Full »
Answer: Hello, Welcome to icliniq.com. So basically after a heart attack, best possible treatment is angiography followed by angioplasty or bypass surgery. So he should have angiography done and further management will depend on angiography report. Till the time, he should continue medicines which will pr... Read Full »
How should my father be treated for high CK levels?
Query: Hello doctor, My dad had a bypass eight months ago. Now the creatine kinase level is 914 U/L. He does not have a chest pain or any other problems. We found this on a routine blood test. Is it because of a heart condition? He is currently taking medications for his heart, high blood pressure, and di... Read Full »
Answer: Hello, Welcome to icliniq.com. I saw the files (attachment removed to protect patient identity). If his CK-MB (creatine kinase-MB) is normal, then his heart should be fine. CK-MB is more specific for the heart than plain CK. Also, his bilirubin levels are elevated. So, I would suggest a gastr... Read Full »
Is there a way of stabilizing troponin levels?
Query: Hello doctor, My 11-year-old son fainted at soccer practice and was taken to the hospital. His heart had an extra beat. The bloodwork showed that his troponin level was slightly elevated. He is not on any medications. Is there a way of stabilizing troponin levels? Read Full »
Answer: Hello, Welcome to icliniq.com. Elevated troponin may occur due to the involvement of the heart, lungs, and kidneys. They occur in blood as a response to trauma to the heart muscles. Slightly elevated troponin may or may not be related to a heart condition. The only way to stabilize it is to avoid ... Read Full »