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Doctor insights on: Troponin Levels In Myocardial Infarction

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Please explain the high glucose level and high fbs in patients with myocardial infarction?

Please explain the high glucose level and high fbs in patients with myocardial infarction?

Stress: Hi. High glucose and high FBS may, repeat MAY, be seen with acute MI, but is not an absolute finding by any means. Many people have had diabetes (which actually contributes to them having an MI) but it doesn't get diagnosed until they're in the hospital for the MI. MI is a serious stress to the body, and two principle stress hormones, epinephrine and cortisol, raise blood sugar. Control diabetes! ...Read more

Troponin (Definition)

Troponin is an enzyme found in heart muscle, which is involved in the muscle fiber's ability to contract. It is extremely specific to heart muscle, and hence if levels are elevated in the blood, it points very confidently toward heart muscle damage as a cause of patient's symptoms. In fact, it is the test that is used to definitively ...Read more


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Please explain the low level of hemoglobin and hematocrit in patients with myocardial infarction?

Please explain the low level of hemoglobin and hematocrit in patients with myocardial infarction?

Anemia and MI: Many patients that have a heart attack have normal hemoglobin and hematocrit. However if a patient does have anemia and coronary artery disease then the anemia can make it more likely that they have a heart attack. This is because with anemia the heart and body are not getting proper oxygen and this puts a strain on the heart and can result in heart attack. ...Read more

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How can myocardial infarction affect serum potassium and sodium levels?

How can myocardial infarction affect serum potassium and sodium levels?

Should not: Unlikely that a heart attack will affect sodium or potassium measurably, but medications will, particularly diuretics and in the case of sodium: too much fluid intake can drop the level. ...Read more

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How can troponin help with myocardial infarctions?

How can troponin help with myocardial infarctions?

Diagnosis: Since troponins measure damage to the heart muscle which occurs in a heart attack - the damaged/dying muscle will leak these into the serum which can be measured - they can be used to determine if a heart attack has occurred. ...Read more

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How painful is a myocardial infarction?

How painful is a myocardial infarction?

Unique to person: In many occations not painfull at all. Most common symptom is chest pressure, heavyness, oppresion, shortness of breath not "pain", sometimes indigestion like symptoms. "silent" heart attacks are common in patients with diabetes. Still today about 50% of people die on their first heart attack. In many occations thinking" its not my heart", " its reflux", "indigestion", "my hiatal hernia"anything but. ...Read more

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What is a st-wave myocardial infarction?

What is a st-wave myocardial infarction?

Various: The st segment is a portion of the electrocardiogram. A myocardial infarction can be described as st elevation myocardial infarction or non-st elevation myocardial infarction depending on the appearance of the electrocardiogram. Management of the 2 types of heart attack are somewhat different. ...Read more

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How do you diagnose myocardial infarction?

How do you diagnose myocardial infarction?

Multiple methods: Myocardial infarction (mi) is suspected by symptoms usually including chest pain. The conclusive diagnosis is established based on a combination of specific abnormalities of the electrocardiogram (ekg) and presence of certain heart enzymes that leak into the blood during an mi. The most common enzymes are called ck-mb and troponin. ...Read more

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What factors make myocardial infarction worse?

What factors make myocardial infarction worse?

Many: The location is a major factor: left main blockage is most likely to be fatal. Proximal left anterior descending is also often fatal. Patient factors such as on-going tobacco use, uncontrolled hypertension, diabetes, anemia, pre-existing heart or kidney failure and advanced age all raise the risk. ...Read more

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What should I do after a myocardial infarction?

What should I do after a myocardial infarction?

See a doctor: Anyone who has had a heart attack/mi should be under the care of a physician who can evaluate their risks and prescribe the appropriate treatment. ...Read more

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What are the clinical symptoms of myocardial infarction?

Multiple & varied: Chest pain, radiation to the arm, neck, jaw, sense of impending doom, sweating, feeling of weight on chest, tiredness, shortness of breath, feeling faint or dizzy etc. About a quarter of the mis especially in diabetics may have no recognizable symptoms. Sudden death may be the only symptom in some. ...Read more

Infarction (Definition)

When the blood supply of a tissue is compromised by whatever mechanism, the tissue will stop working and if blood flow is not restored, the tissue will eventually die ("infarct", both verb and noun). The clinical picture that runs with development of an infarct ("heart attack"; ...Read more


Dr. Creighton Wright
3,921 doctors shared insights

Heart Attack (Definition)

Heart attack is a life-threatening condition in which the blood vessels that supply the heart becomes occluded and thus the heart itself is not longer receiving any blood flow. Without this blood flow, the heart muscle dies and cannot pump blood to the ...Read more