Liver function tests

[jon22]

I had chest pains a few weeks ago, went to A&E and after 8 hours I was discharged, told to take it easy and see the cardiac nurse. I am now down for echocardiogram, reviewing my other arteries and existing stents (full metal jacket of 4 stents), possible angiogram, stress test, plus full review of meds I am on. Doctor has reviewed the letter but has a few questions before my meds are changed.

Unfortunately the blood tests revealed I had an inflamed liver and tests showed :

Serum total bilirubin level 12 umol/L [0.0 - 21.0]

Serum alkaline phosphatase level 138 U/L [30.0 - 130.0]

Above high reference limit

Serum alanine aminotransferase level 161 U/L [0.0 - 41.0]

Above high reference limit

Serum albumin level 46 g/l [35.0 - 50.0]

Serum total protein level 64 g/L [60.0 - 80.0]

Serum globulin level 18 g/L [18.0 - 35.0]

Serum calcium level 2.33 mmol/L [2.2 - 2.6]

Serum adjusted calcium concentration 2.29 mmol/L [2.15 - 2.55]

Serum gamma-glutamyl transferase level 374.0 U/L [0.0 - 60.0]

Above high reference limit

So now my statins and have been stopped and I go back for more bloods in a week.

All very worrying.

[Ianc2]

Hi Jon22

It is good to hear that you are lined up for further tests. The more information that you and your doctors can gather the better informed you will be and you will be more able to see a way forward. I assume that your don't drink and smoke and you have probably been told to adopt a mediterranean diet and to watch your weight to give yourself the best chance.

You are on the conveyor belt, it will take time to get you where you need to be, but you will get there, it is just a question of time.

[jon22 in reply to Ianc2]

Thanks lanc2,

Dont smoke but I do drink about 14 to 16 units per week but have now cut down this to single figures. Doctor did not mention stopping drinking ? Will ask him.

As regards weight I have lost nearly 4 stones since my heart attack which is about 25% of my body weight. Now have normal BMI. I think this is because I have cut out saturated fats, eat lean meat (chicken)/fish and exercise every day.

Thanks.