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!

[MRSRKA]

What is a positive Trop blood test indicating a heart attack??

[stevejb1810]

Is your husband Andypa by any chance? Either way, check out my reply to him on exactly the same question

[MRSRKA in reply to stevejb1810]

Yes he is!! Thankyou for your reply 😊

[Hatchjd]

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.

[Milkfairy Heart Star in reply to Hatchjd]

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...

[Hidden in reply to Milkfairy]

My understanding is if there’s a jump of more than 5 between readings you get a willywonka ticket 🎫 to the cath lab

[Milkfairy Heart Star in reply to Hidden]

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...

[Hidden in reply to Milkfairy]

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.

[Milkfairy Heart Star in reply to Hidden]

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...

[Hidden in reply to Milkfairy]

Oh

[Milkfairy Heart Star in reply to Hidden]

Oh 😊

[Prada47 in reply to Milkfairy]

Oh Oh sounds like Father Christmas is about to arrive we only need another Oh and we have Oh Oh Oh and a Merry Christmas

[Lezzers in reply to Prada47]

😂

[Shoshov in reply to Prada47]

🤣🤣

[Hatchjd in reply to Milkfairy]

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.

[Milkfairy Heart Star in reply to Hatchjd]

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...

[MRSRKA in reply to Milkfairy]

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

[Milkfairy Heart Star in reply to MRSRKA]

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.

[MRSRKA in reply to Milkfairy]

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

[Milkfairy Heart Star in reply to MRSRKA]

I hope your husband gets his referral to the Liverpool Refractory Angina centre soon!

[Hatchjd in reply to Milkfairy]

Very interesting read.