What is a positive Trop blood test indicating a heart attack??
What is a positive Trop blood test re... - British Heart Fou...
What is a positive Trop blood test result for HA? Husband was 15, was told by medical drs in A&E it was positive but cardiac team said no!
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Is your husband Andypa by any chance? Either way, check out my reply to him on exactly the same question
I was told under 16 is usually negative but it has to be put in context with his medical history, presenting symptoms and EKG. It is often repeated after 4 hours to see if there is a rise which is indicative of emerging heart muscle damage.
Hi the term ' negative ' to describe a troponin below a certain level is now being questioned.
Prof Nick Mills who is researching the role of Troponins blood levels to diagnose a heart attack says this
' we suggest troponin should no longer be considered a binary test.'
academic.oup.com/cardiovasc...
heart.bmj.com/content/105/S...
My understanding is if there’s a jump of more than 5 between readings you get a willywonka ticket 🎫 to the cath lab
Prof Nick Mills suggests
thelancet.com/journals/lanc...
A blood level of 5ng/L is an indication that all is well and person could be sent home.
If someone's Troponin level is 5ng/L if an hour later it is 3ng/L higher they should be admitted for observation.
A more serious ST elevations heart attack is usually diagnosed by symptoms, ST elevations seen on ECG and a higher Troponin level that rises over time needs assessment in the cath lab.
The standard time from a person picking the phone up to call an ambulance to hitting the cath lab is expected to be 120 minutes.
The National Cardiac audit programme showed that this was achieved in the vast majority of cases.
nhs.uk/Scorecard/Pages/Indi...
Well Professor Deano of Deanstone University begs to differ. He states a background of ACS & a rise of 5ng/l between readings requires further investigation. So.....and I believe him.
That is what Prof Nick Mills says too however he is saying a rise of 3ng/L after 3 hours
This is different to the European society of Cardiology present guidelines
heart.bmj.com/content/105/8...
Oh
Milkfairy I had a rise of 3 from 10 to 13 and my angio showed recent plaque rupture with bleed. I didn’t have a heart attack but did have significant blockage and requiring stents and ischemia at the site of the stents. The cardiologist said the rise was evidence of a small amount of muscle damage. I was admitted for jaw ache.
10 is the lowest result on the test but I was told my actual starting point could have been less than 10.
You were fortunate to have a switched on and astute Cardiologist.
Many people are discharged home with a ' normal ' tropinin level such as yours or not be offered a angiogram.
I always ask for my actual level usually above 5ng/L but below 16ng/L showing my vasospasms are bruising my heart muscle.
I end up having to be admitted to hospital once or twice year to get the treatment to stop these severe vasospasms.
The diagnosis of a heart attack can be like beauty in the eye of
the beholder😊
For all the research geeks like me here is the 4th universal definition of a heart attack published by the European society of Cardiology the year before last
escardio.org/Guidelines/Cli...
He has had 2 previous HA's and 4 stents and MVA, he's been stable for last couple years only having do's on exertion but since Jan 11th he has suddenly become unstable, daily do's and 3 admissions to hospital, increased meds and was OK for just over a week then bang Wednesday eve he had a do used gtn eased off then 2 hours later has pains that he said were worse than last HA 8 sprays gtn and eventually settled after 40 mins in which time an ambulance had been called. Ecg OK just the raised trop. He now feels heavy and tight like hi did after HA and exhausted
I am sorry to hear this.
MVA is not well recognised and understood but does need to be treated appropriately
The pain of MVA and Vasospastic angina are well known to be very severe and debilitating.
If your husband continues to have chest pain which is not relieved by GTN spray then back to A&E.
Was your husband admitted to hospital for observation and further investigations of his angina?
If not I would suggest you get your husband to see his GP and ask for an urgent referral to a Cardiologist or the Rapid Chest pain clinic for an assessment
I get as some else described so well a foot print of aches and pains after a severe episode of chest pain. I feel very tired and feel as though a steam roller has rolled over me.
I hope your husband feels more at ease soon.
He has been diagnosed with Angina for a few years now but only had mva diagnosis for last 2 years after micro perfusion scan, cardiac team at our local hospital are now wanting to do another mps to see if any changes from last one 2 years ago, There is a clinic in Liverpool that specialises in angina but apparently quite difficult to get referred there, need to exhaust all other tests and options to help ease it before they will even consider you, this option has been mentioned to us twice now so hoping once these tests are done and if nothing improves then we can get that referral done