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Doctor insights on: High Heart Enzyme Levels

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What are the causes of high levels of enzymes in your liver and heart?

Enzymes: The stock answer is myocardial cell damage or death causes release and elevation of the enzymes. Cardiac enzymes are supposed to be very specific, in practice not quite so much.. Similar for liver, generally means organ damage but not really that simple. ...Read more

Enzyme (Definition)

An enzyme causes the transformation of a compoond to another compound. In living structures, it is the transformation of a protein to another form. An example is from an inactive state ...Read more


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74yr old , heart ejection fraction 40%. Hep c n liver cirohsis. Enzyme level high! sgot is 169 n sgpt is 96. Albumin is 2.52. Pl advice?

74yr old , heart ejection fraction 40%. Hep c n liver cirohsis. Enzyme level high! sgot is 169 n sgpt is 96. Albumin is 2.52. Pl advice?

What is the problem?: The numbers given need to have a context for evaluation; what symptoms do you have? Are these new fluctuations in the numbers, or are they stable? ...Read more

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High enzyme count in heart. Should i be worried?

High enzyme count in heart. Should i be worried?

Enzyme: What does your doctor say? Some elevated enzymes don't mean much, some very important all need to be in the context of the patient and what's going on with them. Out here in the cloud, we don't know you......... ...Read more

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What could have caused my elevated heart enzymes?

What could have caused my elevated heart enzymes?

Heart attack: Cardiac enzymes are for the most part muscle enzymes and can be elevated by anything that causes problems with muscle. The more cardiac specific enzymes will be less bothered but none are perfect. One would have to know what was going on before your enzymes were drawn to speculate what might have happened, including lab error. ...Read more

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If heart enzymes are high in blood work, what does it mean?

If heart enzymes are high in blood work, what does it mean?

Depends: Which "heart enzymes" and when they are noted to be how high are all potentially important markers of underlying disease and prognosis. Although there are some patient who "normally" have high cardiac enzymes, these blood tests are the ones doctors usually use to indicate heart muscle damage, and thus make a diagnosis of myocardial infarction, or "heart attack", versus ischemia (without damage). ...Read more

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If heart enzymes are high in blood work does that mean disease?

If heart enzymes are high in blood work does that mean disease?

Tissue damage: These enzymes are contained within the muscle cells. Some are specific for the heart. Others are seen in all kinds of muscles, not just cardiac. When these muscle cells are injured they spill their contents into the blood stream, allowing us to measure them. Thus, elevated levels indicate tissue damage of some sort. ...Read more

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What will cause elevated heart enzymes besides a heart attack?

What will cause elevated heart enzymes besides a heart attack?

Muscle injury: CPK and the non specific enzymes may be falsely elevated, may be increased by muscle injury, and some drugs. Specific like troponins, are pretty accurate! ...Read more

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Can you let me know how many hrs does heart enzymes stay elevated after a heart attack?

Can you let me know how many hrs does heart enzymes stay elevated after a heart attack?

Up to 14 dsys: Troponin i or troponin t remains positive up to 14 days after a cardiac event. CPK and ckmb returns to normal after 72 hours. Troponin is a specific cardiac marker. However CPK is not it could be detected in the blood from skeletal muscle injury as well. ...Read more

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How will high elevated heart enzymes effect an aortic dissection? My daddy has an decending aortic dissection that is 5.4cm and very very very close to his spine, so close they are trying extremely hard every way they can not to have to do surgery. He has

How will high elevated heart enzymes effect an aortic dissection? My daddy has an decending aortic dissection that is 5.4cm and very very very close to his spine, so close they are trying extremely hard every way they can not to have to do surgery. He has

Most : Most current "heart enzyme" tests are very specific for heart damage (troponin), although there are older tests which are used less frequently which can be elevated in the setting of other muscle damage (ckmb, myoglobin). I would start by finding out which test exactly is abnormal. If it is indeed an elevated level of "troponin" then this typically indicates heart damage which can then be caused by either undue strain on the heart, or most commonly by low blood flow to the heart muscle which causes some of the cells to die off and release the enzyme. We know that many people with cardiovascular disease have issues in more than one area, so if you father has an aortic dissection, there is a good chance that he also has coronary artery disease which would increase his risk for surgery further. I would encourage you to sit down and talk with your father's physician and ask some of these same questions face to face and obtain some specific answers relating to you father's condition. ...Read more

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