Can anyone here understand this blood work

[boxer08]

As some of you know i went to A&E 9 days ago with chest pain and my bloods showed up high CK levels ( 3400 ) they said, but decided to discharge myself that night. I was told to go to the doctors monday to repeat the test's, here's the results from the A&E and follow up -

Collected 15/06/13 22:30 received in lab 15/06/13 22:41

Cardiac Troponin T 9ng/L Status F
Plasma D-Dimer 86ug/L Status F
Wells Score 1 Status F
Creatine Kinase H 1307u/L Range( 39 -308 ) Status P

Collected 17/06/13 11:35 Received in lab 17/06/13 14:57
Full Blood Count
Haemoglobin 139g/L range (130 - 180) Status F
White blood count 5.1 x10^9/l range (4 - 11) Status F
Platelets 335 x10^9/l range (150 - 400) Status F
Mean cell volume 89.0 fl range (80 - 100) Status F
Mean cell haemoglobin 29.4 pg range (27 -32) Status F
Haematocrit 0.420 l/l range (0.40 - 0.52 ) Status F
Red blood count 472 x10^12/l range (4.5 - 6.0 ) Status F
Mean cell haemoglobin conc 331 g/L range ( 320 - 360 ) Status F
Red cell distribution width 13.7% range (11 - 14.8 ) Status F
Mean platelet volume H 11.1 fl range ( 6.5 - 10.5 ) Status F
Neutrophils 2.8 x10^9/l range (1.7 - 7.5) Status F
Lymphocytes L 1.3 x10^9/l range (1.5 - 4.5 ) Status F
Monocytes 0.6 x10^9/l range (0.2 - 0.8 ) Status F
Eosinophils 0.3 x10^9/l range ( 0 - 0.4 ) Status F
Basophils 0.0 x10^9/l range ( 0 - 0.1 ) Status F

Renal Chemistry
Sodium 142 mmol/L range (133 - 146) Status F
potassium 4.4 mmol/L range (3.5 - 5.3) Status F
Urea 4.6 mmol/L range (2.2 - 7.8) Status F
Creatinine 85 umol/L range (62 - 106 ) Status F

Bone Profile
Total protein 65 g/L range (60 - 80) Status F
Albumin 41g/L range (35 - 50) Status F
Alk.phosphatase 5 6U/L range (40-129) Status F
Calcium 2.31 mmol.L range (2.15 - 2.60) Status F
Corrected calcium 2.29 mmol/L range (2.15 - 2.60) Status F
Phosphate 1.13 mmol/L range (0.8 - 1.5- Status F

Creatine Kinase 273 U/L range (39-308) Status F
Cardiac Troponin T 6ng/L Status F


My liver and thyroid was also tested...i cant find those results on here and they never gave them to me ??

[100%]

What are you on right now?
Did you tear or pull a muscle recently?
Did you just start taking any cholesterol meds?

[boxer08]

Been on test E 6 weeks 500mg weekly
Arimidex 0.5mg EOD
I stopped using the var on the day of the first blood test, was using 50mg daily

On no cholesterol meds
Ain't pulled any muscle recently just training really hard especially the workout the day before the first blood test

[100%]

Creatine kinase (CK) coming back high shows damage to muscle. Can be from any muscle damage including a injection. Did you get the follow up blood work done?

[boxer08]

The follow up is the one dated 17/06/13 2 days after the ones they took in the hospital

[100%]

Cardiac Troponin T 6ng/L Status F this would typically be elevated if you had a heart attack .
Did they give you a electrocardiogram?
Are you sure you actually got var?

[boxer08]

Ive had 3 electrocardiogram and they were normal....2 done during the chest pain episode in the hospital.
The var was deff anavar and nothing else, a well known and reliable lab that lots of people use
The first Cardiac Troponin T in the hospital was 9ng/L

[boxer08]

They even done a chest x-ray to look at my heart and it came back fine

[100%]

This should give you a better understanding. If it keeps going up after chest pain is really bad. How to Interpret Elevated Cardiac Troponin Levels

[boxer08]

On the 15/06/13 it was 9ng/L then on the 17/06/13 it was 6ng/L...does this mean that i could of had a heart attack ? or may be at risk of having one

[100%]

On the 15/06/13 it was 9ng/L then on the 17/06/13 it was 6ng/L...does this mean that i could of had a heart attack ? or may be at risk of having one

Something definitely happened and you need to stay on top of it till you find exactly what it was. I would be more concerned if Troponin T keep rising from what you wrote its going down.

[boxer08]

So its a good idea to stop the cycle and get some follow ups

[100%]

It wouldn't be a bad idea to get down to physiological levels this will take some time at your dose. I doubt test caused your problem but you my a have a undiagnosed heart condition that needs to be addressed.

[bringndaheat]

^^^^i agree wth what 100% said. Damn 100% ur a smart SOB!

[boxer08]

It wouldn't be a bad idea to get down to physiological levels this will take some time at your dose. I doubt test caused your problem but you my a have a undiagnosed heart condition that needs to be addressed.

I had a ultrasound scan on my heart, stress test, ekg and bloods and another test around 3 years ago and the specialist said my heart couldn't be better back then so unless something has happened since then....im confused with it all especially them levels rising

[100%]

I had a ultrasound scan on my heart, stress test, ekg and bloods and another test around 3 years ago and the specialist said my heart couldn't be better back then so unless something has happened since then....im confused with it all especially them levels rising

Heart conditions often go undiagnosed testing can only tell so much. When you meet with the specialist he might be able to tell you what type of tissue was damaged depending on the type of ck test that was done. Keep us posted this info can help out a lot of other members.

[boxer08]

Heart conditions often go undiagnosed testing can only tell so much. When you meet with the specialist he might be able to tell you what type of tissue was damaged depending on the type of ck test that was done. Keep us posted this info can help out a lot of other members.

I wont be seeing any specialist this time the doctor seems to think the results are fine so no specialist is needed. Ill be going back to see him tomoz...ill just continue with the cycle

[boxer08]

Be going to the doctors in 2 hours so ill keep you updated with the results

[100%]

Best of luck.

[boxer08]

G.p admitted me in to hospital telling me that i had a heart attack...spent 9 hours in the hospital they done some blood work, ekg and anothe chest x-ray. Said the upper limit for the troponin is 14 and when mine had come in and 9 and 6 and today at 5 they are fine and nothing to worry about. Heart looks fine on the x-ray, ekg was fine and it sounds fine, were happy with the blood work and sent me home

[boxer08]

My bp is bordeline high they did say considering im only 24 and to keep a eye on it but they wouldn't recommend any medication at this point of time

[100%]

G.p admitted me in to hospital telling me that i had a heart attack...spent 9 hours in the hospital they done some blood work, ekg and anothe chest x-ray. Said the upper limit for the troponin is 14 and when mine had come in and 9 and 6 and today at 5 they are fine and nothing to worry about. Heart looks fine on the x-ray, ekg was fine and it sounds fine, were happy with the blood work and sent me home

So they said you had a heart attack but it caused minor damage to you heart? Did they give any explanation why it happened? What your plan?

[boxer08]

My g.p said that she thinks i had 1 but in the hospital they said my g.p was wrong and my heart is fine. They don't know why the troponin is raised but the level is nothing to worry about and the ck that was raised was from muscle but is now normal

[100%]

My g.p said that she thinks i had 1 but in the hospital they said my g.p was wrong and my heart is fine. They don't know why the troponin is raised but the level is nothing to worry about and the ck that was raised was from muscle but is now normal

CK would be back to normal either way clears very quickly . If they said they can tell it was from muscle that great news. Troponin elevated I would really try to get to the bottom of that.

[boxer08]

CK would be back to normal either way clears very quickly . If they said they can tell it was from muscle that great news. Troponin elevated I would really try to get to the bottom of that.

The raise in troponin is what i was trying to get to the bottom of but they said in the hospital the upper limit is 14 so mine aint raised and there is no need for further tests. I guess ill never know why it went up to 9

[boxer08]

The troponin is still raised as it was 5ng/l today and it was 9ng/l on the 15/06/13 so there's only a 4 point change there. I can't do anything else as they seem to think it's fine...what test's would be best to find out why ?

[100%]

It is the order in things happened not just the numbers. Chest pain red flag, ck elevated red flag, troponin elevated during chest pain and lowers over following days red flag. I am sure that is way your GP told you to go back to the hospital. Can you ask her to send you to a specialist? I want nothing more for you then for it to be nothing. Dont except unanswered questions to real concerns.

[boxer08]

Ill book a app to see my G.P and see if i can be sent to see a specialist, hopefully she will send me as she seem's to think herself that something is wrong

[100%]

Ill book a app to see my G.P and see if i can be sent to see a specialist, hopefully she will send me as she seem's to think herself that something is wrong

Show her this you went from we this 5 to 9 40% increase look at study and percentages.

Table 1 Causes of elevated troponins, prevalence, and underlying mechanism
Troponin elevation (disease) Prevalence of troponins (cut‐offs) Key references Mechanism of troponin release
ACS related
AMI 100% per definition Alpert JS. J Am Coll Cardiol 2000;36:959–69. Thrombotic occlusion of coronary artery (STEMI), microembolisation (NSTEMI)
Post‐PCI 31% (cTnI) – 40% (cTnI); 24% (cTnT) Nageh T. Heart 2005; 91:1181–5. Okmen E. J Invasive Cardiol 2005;17:63–7. Side branch occlusion, coronary dissection, bulky devices causing transient ischaemia and microembolisms
Open heart surgery 100% (cTnT) Lehrke S. Clin Chem 2004;50:1560–7. Myocardial infarction, incomplete cardioprotection, reperfusion injury, direct surgical trauma
Non‐ACS related
Acute pulmonary embolism Variable, depending on cut‐off; 32% at cTnT >0.1 ng/ml – 50% at cTnT >0.01 ng/ml Giannitsis E. Circulation 2000;102:211–7. Pruszczyk P. Chest 2003;123:1947–52. Right ventricular strain
Asymptomatic patients with ESRD Variable, depending on cut‐off; 99th centile/10% CV/ROC: 82%/53%/20% for cTnT and 6%/1%/0.4% for cTnI Apple FS. Circulation 2002;106:2941–5. Several possible reasons including coronary and non‐coronary cardiac origin; prolonged renal elimination; non‐dialysable, intact cTnT; differences to cTnI may be related to higher affinity to dialysis membrane, unstable molecule (fragments), smaller protein
Pericarditis/myocarditis 32–49% (cTnI) Smith SC. Circulation 1997;95:163–8. Imazio M. J Am Coll Cardiol 2003;42:2144–8. Bonnefoy E. Eur Heart J 2000;21:832–6. Direct damage of myocytes
Aortic dissection Stanford A 24% (cTnI >1.5 ng/ml) Bonnefoy E. Acta Cardiol 2005;60:165–70. Dissection of coronary artery
Chronic HF 15% (cTnT >0.1 ng/ml) –23% (stable and unstable) (cTnI >0.3 ng/ml) Missov E. Am Heart J 1999;138:95–9. La Vecchia L. Am J Cardiol 1997;80:88–90. Global wall stretch, degradation of contractile protein and cellular injury due to oxidative stress and neurohumoral factors
Acute HF 52% (cTnT 0.02 ng/ml) –55% (cTnT 0.1 ng/ml) Setsuda K. Am J Cardiol 1999; 84: 608–11. Perna ER. Am Heart J 2002;143:814–20. Global wall stretch, hypoxaemia, systemic hypoperfusion, coronary malperfusion
Strenuous exercise/ultra‐endurance athletes 26% (cTnT), 9% (cTnI); 23% (cTnT), 32% (cTnI) Rifai N. Am J Cardiol 1999;83:1085–9. Urhausen A. Am J Cardiol 2004;94:696–8. Ventricular stretch, release of soluble troponin, underlying cardiac disease
Cardiotoxic chemotherapy Unknown Yeh ET. Circulation 2004;109:3122–31. Direct toxic effect on myocytes
High frequency ablation/ current cardioversion‐defibrillator shocks 90% (cTnI) Madrid AH. Am Heart J 1998;136:948–55. Direct myocardial damage
Cardiac infiltrative disorders (amyloidosis) Unknown Dispenzieri A. Lancet 2003;361:1787–9. Myocyte compression
Heart transplant 100% (up to 3 months) variable after 3 months Zimmermann R. Br Heart J 1993;69:395–8. Labarrere CA. JAMA 2000;284:457–64. Inflammatory/immune mediated
Cardiac contusion after blunt chest wall trauma 12% (cTnI) – 15% (cTnT) Edouard AR. Anesthesiology 2004;101:1262–8. Collins JN. Am J Surg 2001;67:821–5. Direct myocardial damage
Sepsis/critical ill patients 36% (cTnT 0.1 ng/ml) – 85% (cTnT >0.1 ng/ml) ver Elst KM. Clin Chem 2000;46:650–7. Ammann P. Intensive Care Med 2001;27:965–9 Oxygen supply/demand mismatch, cytokine/endotoxin mediated toxicity, heterophilic antibodies (false positive)
Rhabdomyolysis Unknown Lavoinne A. Clinical Chemistry 1998;44:667–8. Cross‐reactivity between skeletal and cardiac muscle isoforms of troponins in first and second generation troponin assays
ACS, acute coronary syndrome; AMI; acute myocardial infarction, ESRD; end stage renal disease; HF; heart failure; NSTEMI, non‐ST

[bringndaheat]

Boxer did u cut back on your dosage?! Man I sure hope so.

[boxer08]

Boxer did u cut back on your dosage?! Man I sure hope so.

Ive come of altogether...kinda wish i hadn't know though after them saying everything was fine but then again i aint happy with what im being told so i want more answers

[100%]

troponin.pdf Here this is from the link I posted. Two questions why did you need that extensive heart testing three years ago. Your 274pd what is you bf?

[boxer08]

Seen my G.P today, she won't send me to see a cardiologist for further tests as she said the ones i seen in the hospital that run the EKG, bloods and x-ray were specialists in that area and if they thought anything was wrong they would of sent me for further screening. I had the heart testing back then due to palpitations every day/night but all the screening was fine and i completed the stress test easily with no problems so they put it down to stress and being anxiety related. I aint tested my b/f recently but my abs are still visible so im guessing its around the 12 - 14% mark no higher.