Pro BNP

[annemk]

I had a heart attack 4 years ago - from my very stressful job- and it was not properly diagnosed so when I eventually got help there was serious permanent damage. I understood the blood test called ProBNP showed results that indicated heart muscle damage (5500 was the score). In subsequent years the level tested by ProBNP stabilised at 700 and was not a reason for concern when I had my annual check ups. A year ago it suddenly soared to 2300 (after a year of a lot of personal stress I must say) and my cardiologist performed angiogram and TEE but there was no other identifiable deterioration. The original heart muscle damage means there is mitral regurgitation and AF and surgical valve repair could lie ahead but damage is still "moderate" - not bad enough yet. The only explanation I have been given for the increase in my ProBNBP score is ongoing permanent AF. Does anyone else have experience with this? My 6 month checkup is next Monday. I am in South Africa. I am fit and well, daily 1 hour exercise like water aerobics or line dancing and do it with ease. Lost weight and cholestrol is not - never was- the problem but I do take a statin as well as warfarin, bilocor, furosemid, potassium chloride. I am 66 and retired.

[Hidden]

Although you have AF, annemk , I suspect this post might be better placed on a different forum.

Has anyone any suggestions?

[annemk in reply to Hidden]

I would be happy to follow up suggestions.

[rosyG]

Goldie11 would be able to comment if he sees this

[annemk]

Thank you. I will get back to the reports and check on other assessments that were done. Your input is really helpful.

[annemk in reply to annemk]

From annemk

I see in the report

"global hypokinesia with and ejection fraction of 45% with normal pulmonary arteries""Normal coronary arteries" Blood Pressure 120/80 pulse 83 beats (at home its usually 60 beats) Saturation 96%. No Oedema. Peripheral pulses palpable. "

"resting Electrocardiogram Atrial fibrillation heart rate 97. QRS 94. QRS Axis 42. T-wave 22. Poor R-wave progression. small Q-waves in the inferior leads probably related to previous MI. "

"Exercise Electrocardiogram - patient attained a heart rate of 63 beat/min with non-significant ST/T-wave changes."

"Echocardiogram. Aorta 3.1 Mild AR Vena contractor .7. MR EROA .06. Right ventricle regurgitant volume 7.9 fraction 14.2. Eccentric jet along anterior wall. Left Ventriculr internal diameter 5.3 left ventricular internal diameter in systole 3.7 ejection fraction 57% pulmonary artery pressure 40mmHg"

Last year the big question was should I have a mitral valve repair and the final decision was no.

I have BMI 26, no pain, up and down stairs all day, usually sleep very well.

Thanks for any input.

[NLGA]

my bNP is high and I have AF