Hello,
Thank you for your query at DoctorSpring.com
The ecg sent by you is normal and shows incomplete rbbb which is a normal variant. Can you describe the pain that you are having. Is it a heaviness or pricking sensation. Is it more on exertion or only at rest. Are you having sweating nausea or breathlessness.
The blood tests you have are abnormal. But they are not the best tests for heart attack. You should get a Trop I or Trop T test done to confirm whether the heart muscle is getting damaged in the ongoing pain.
A 2d echo test would also help in ruling out a heart attack.
You should quit smoking totally.
Feel free to discuss further,
Regards
Dr Vivek Mahajan
DM Cardiology
Patient replied :
Thank you doctor for your answer
I went to the hospital and I returned just now
I asked them for a complete analysis of all the functions of the body, including the heart
They do all the tests for me except the heart analysis ((troponin)) I must wait for the results after 10 days from now
and yes I have sweating and breathlessness and a headache
and I am have asthma since I was thirteen years
I have upload two pictures of the new blood analysis and one pictures for the drugs that the doctor has been giving me
Are there any recommendations?
Do you recommend with another drug?
for the records I have stopped smoke since 11days
Thank you doctor
Hello
The pain that you describe is atypical and less likely to be cardiac. The tests that have come positive indicate that heart muscle is being damaged. However this test has low sensitivity and specificity and occasionally it comes out to be positive even a non cardiac chest pain. That is why we need another more specific and sensitive test like the Trop I. This test will effectively rule out any false positive result of the previous test. Negative trop test will rule out any ongoing damage to the heart muscle also that will be helpful to rule out any cardiac issues like heart attack.
So kindly get the test done as soon as you can.
And also you can continue with the same medicines as he prescribed.
Regards
Dr Vivek Mahajan
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Patient replied :
hey
I just get the test now
unforchantly I can't upload them on the website and I dont know why
I uploaded the test result in another site
http://www.m5zn.com/newuploads/2014/10/23/jpg//026c2fb1e0015cb.jpg
http://www.m5zn.com/newuploads/2014/10/23/jpg//1390260a37fc424.jpg
Thank you
Hello
The uploaded reports show troponin to be zero. If the test is done 8 hours after the.pain began then the zero troponin levels are suggestive that there is no heart damage due to any heart attack. The raised ckmb is therefore falsely positive and doesn't suggest that heart muscle is being damaged. There might be other reasons like muscle trauma injections fever other organ disease tongue dosease prostate disease which could lead to ckmb level elevation without actually having a heart attack. The ckmb test isn't very specific for heart damage
So you my be reassured that it is not a heart attack.
Osteoporosis can be found out doing a dexa scan. It cannot be commented on blood tests.
Regards
Dr Vivek Mahajan