Resolved question:
Elevated CPK levels seen in the report. patient hospitalized. Echo Ultrasound is normal. Heart pumping normally. Trop I test shows negative. Elevated TSH, T3, T4 levels.
Given the situation, is there a need for angiography? Can this be on account of the skewed Hypothyroid levels seen in the report?
Submitted:
4 Days
Category:
Cardiologist
Hello,
Thank you for your query at DoctorSpring . com
Elevated cpk levels may result from hypothyroidism. Even elevated ck mb fraction can result from hypothyroidism. Trop I is far more sensitive and specific. What is the patient admitted for?
In case of chest pain if negative trop s to 12 hours after pain onset means that myocardial infarction has not occured. In that case patient may undergo a stress test 48 hours after pain subsides and if normal doesn't need to undergo an angiography.
Feel free to discuss further,
Regards
Dr Vivek Mahajan
DM Cardiology