Cardiology

Cardiology Questions Answered by Verified Cardiologists.

Ask a Doctor,
Get an Answer ASAP!

Are cpk levels of 95 and troponin 0.497 indicators of a

Customer Question
heart attack?...
are cpk levels of 95 and troponin 0.497 indicators of a heart attack?
Submitted: 2 years ago.Category: Cardiology
Ask Your Own Cardiology Question
Answered in 5 minutes by:
2/18/2016
Cardiologist: Dr. Phil, MD, Medical Doctor replied 2 years ago
Dr. Phil, MD
Dr. Phil, MD, Medical Doctor
Category: Cardiology
Satisfied Customers: 59,086
Experience: Cardiology Expert
Verified

Thanks for this question

CPK is not a good marker of a heart attack

However, the troponin is

That troponin level is high. And it could indicate a heart attack in the right clinical situation

Ask Your Own Cardiology Question
Cardiologist: Dr .Saeed ahmed, Doctor replied 2 years ago
Dr .Saeed ahmed
Category: Cardiology
Satisfied Customers: 4,473
Experience: MBBS/FCPS/MRCP U.K(R), Senior Registrar Cardiology
Verified

I disagree with above expert,,, cutoff limit of troponin I is 0.50 and this is less than 0.50 so it is a negative test. If symptoms of chest pain, shortness of breath then a repeat test is indicated to see the rise in levels.. I have fellowship in cardiology and working as assistant professor and can help you with further questions, thank you.

Ask Your Own Cardiology Question
Cardiologist: Dr .Saeed ahmed, Doctor replied 2 years ago

...

Ask Your Own Cardiology Question
Cardiologist: Dr. Phil, MD, Medical Doctor replied 2 years ago

It depends on the type of troponin

it would help to know which one you had tested and the reference range

Ask Your Own Cardiology Question
Cardiologist: Dr. Alan DeCarlo, Medical Doctor replied 2 years ago
Dr. Alan DeCarlo
Dr. Alan DeCarlo, Medical Doctor
Category: Cardiology
Satisfied Customers: 18
Experience: dasdasd
Verified

Agree as follows. Yes, it depends on the type of troponin. Yes, CPK is not specific unless the myocardial fraction is elevated; but even that could be other things like myocarditis, pericardiits etc.

Everything also depends on laboratory reference ranges. And then with cardiac enzymes time is always a factor. That's why in borderline situations that are absolutely not clear cut, patients are either admitted or kept in the ED for repeat EKGs and enzyme markers.

And then of course there is everything else that goes with it all. history, clinical situation, physical exam....on and on. None of it can be taken out of the overall context

Ask Your Own Cardiology Question
Cardiologist: Dr. Phil, MD, Medical Doctor replied 2 years ago

Thanks for this question.

Please don't forget a positive rating. I appreciate it. :)

If you have more questions, just reply.

Ask Your Own Cardiology Question
Customer reply replied 2 years ago
My cousin had the .497 level ref range isn't on the paper but he needed two stents put in and another me was questioning the levels so I am lost. Then what troponin level is a sure indicator?
Cardiologist: Dr. Phil, MD, Medical Doctor replied 2 years ago

That would be a positive result. Probably a mild heart attack

Ask Your Own Cardiology Question
Cardiologist: Dr .Saeed ahmed, Doctor replied 2 years ago

Thank you for your question, Let me explain the situation. If your cousin had chest pain, apprehension and shortness of breath and ECG showed ST elevations the these levels of troponin are non diagnostic and only used for prognosis.. Even if these are normal with ST elevation on ECG this will be considered acute heart attack. Low troponins in this situation will only help to estimate to outcome or prognosis.. I am working as assistant professor of cardiology in a tertiary care hospital and see more than 50 patients with acute heart attack on daily basis... let me know if you have questions, thank you.

Ask Your Own Cardiology Question
Cardiologist: Dr. Phil, MD, Medical Doctor replied 2 years ago

Thanks for this question.

Please don't forget a positive rating. I appreciate it. :)

If you have more questions, just reply.

Ask Your Own Cardiology Question
Customer reply replied 2 years ago
Dr Ahmed in your opinion what troponin level would be a sign of a heart attack?
Cardiologist: Dr. Phil, MD, Medical Doctor replied 2 years ago

I would say anything above 0.5

Ask Your Own Cardiology Question
Cardiologist: Dr .Saeed ahmed, Doctor replied 2 years ago

Thank you for your reply twiggs.... If person or patient does not have symptoms of chest pain and shortness of breath then any levels above 0.5 for troponin I are indicative of a heart attack. While if there are symptoms of chest pain and shortness of breath which increase with activity then these levels do not matter, in such cases ECG is first diagnostic tool even before troponin levels. ECG changes in such cases make the main diagnosis of a possible heart attack... Let me know if you have questions. Thank you.

Ask Your Own Cardiology Question
Was this answer helpful?
Ask Dr .Saeed ahmed Your Own Question
Dr .Saeed ahmed
Dr .Saeed ahmed
Dr .Saeed ahmed, Doctor
Category: Cardiology
Satisfied Customers: 4,473
4,473 Satisfied Customers
Experience: MBBS/FCPS/MRCP U.K(R), Senior Registrar Cardiology

Dr .Saeed ahmed is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help.

Mary C.Freshfield, Liverpool, UK

This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!!

AlexLos Angeles, CA

Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult.

GPHesperia, CA

I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.

JustinKernersville, NC

Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around.

EstherWoodstock, NY

Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know.

RobinElkton, Maryland

< Previous | Next >

Meet the Experts:

Dr .Saeed ahmed

Dr .Saeed ahmed

Doctor

4,473 satisfied customers

MBBS/FCPS/MRCP U.K(R), Senior Registrar Cardiology

dr-lake

dr-lake

Board Certified Physician

186 satisfied customers

Cardiologist

The Cardiologist

The Cardiologist

MB, MRCP(UK), MCPS(Medicine)

126 satisfied customers

Staff Cardiologist

NorthernHeart

NorthernHeart

Board Certified MD

63 satisfied customers

Internal Medicine, Gen Cardiology, Nuclear Card, Echocard

Dr. Phil, MD

Dr. Phil, MD

Medical Doctor

59,086 satisfied customers

Cardiology Expert

Nadim Al-Mubarak

Nadim Al-Mubarak

Doctor

49 satisfied customers

MD at University Hospital Case Medical Center

urologyguru

urologyguru

MD

26 satisfied customers

I have experience in patients with issues in Cardiology as well as Urology.

< Previous | Next >

Related Cardiology Questions
HOW IMPORTANT IS SLEEPING POSITION ON HEART FUNCTION? WELL I
HOW IMPORTANT IS SLEEPING POSITION ON HEART FUNCTION ? … read more
Dr. Phil, MD
Dr. Phil, MD
Medical Doctor
59,086 satisfied customers
Can your heart rate be in the 90-110 6 days post op and
Can your heart rate be in the 90-110 6 days post op and after recently started on 25 mg of metropolol… read more
Dr SS
Dr SS
Doctoral Degree
12,327 satisfied customers
I"M reading a heart monitor. most of the spikes go down with
I"M reading a heart monitor. most of the spikes go down with only a large upward spike about every six foes. What does it mean? … read more
Dr. Jon
Dr. Jon
Attending Physician
MD
148 satisfied customers
I had some questions about my heart today and there very
Hello, I had some questions about my heart today and there very detailed specific questions. I would like someone who is very knowledgeable in the cardiac world. They said I had LVH strain in my heart… read more
Dr. Jon
Dr. Jon
Attending Physician
MD
148 satisfied customers
What is a preferred heart stent thru an angioplasty? 65
What is a preferred heart stent thru an angioplasty? 65 years old man, had major MI 24 years ago, has been on meds since and a branch heart artery is almost blocked now. … read more
Dr. Nina Lim
Dr. Nina Lim
Doctor of Medicine
473 satisfied customers
My heart palpitates frequently. I was diagnosed with
My heart palpitates frequently. I was diagnosed with premature atrial complexes. I'm taking a beta blocker but still experience palpitations. Could this symptom be a sign of heart trouble? Am I at a h… read more
Dr. Nina Lim
Dr. Nina Lim
Doctor of Medicine
473 satisfied customers
I keep having heart palpitations while I eat and experience
I keep having heart palpitations while I eat and experience episodes where I get high heart rates and the doctors keep saying I'm having a panic attack … read more
Dr Josh
Dr Josh
Doctor
B.A.M.S.
7,336 satisfied customers
My partner, female 53, is having heart palpitations and some
Hi, my partner, female 53, is having heart palpitations and some indigestion. Should I call an ambulance? … read more
Dr SS
Dr SS
Doctoral Degree
12,327 satisfied customers
What is a shunt in my heart. Father died at 46 massive heart
what is a shunt in my heart JA: Do you know if your family has a history of heart disease? In general, how would you describe your health lately? Customer: Father died at 46 massive heart attack JA: A… read more
Dr Stan
Dr Stan
DO
3,199 satisfied customers
I have a question about heart rate changes that have me
I have a question about heart rate changes that have me concerned. I am 64 year old male suffering from health anxiety and depression as well as hypertension and tachycardia. I take valsartan for hbp … read more
Dr. Chip
Dr. Chip
M.D.
13,058 satisfied customers
What are the factors that generally cause a heart attack
What are the factors that generally cause a heart attack from the age of 30 to 49 very dangerous in negligence or narrowing of the arteries and how many years each worker in neglect treatment or treat… read more
Dr. Jon
Dr. Jon
Attending Physician
MD
148 satisfied customers
On Friday I started taking toprol for heart palpitations.
On Friday I started taking toprol for heart palpitations. The next day I had burning/cramping pain on left side of chest, nausea, dizziness, headaches. I told my doc this min and he said I could stop … read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,196 satisfied customers
I have spasms in a heart area. They started about 3 days
I have spasms in a heart area. They started about 3 days ago. No pain at all. Spasms feels like a muscle spasm, but right in heart(chest) area.They can appear in any period of a day. And usually its f… read more
Dr SS
Dr SS
Doctoral Degree
12,327 satisfied customers
This question is about erectile dysfunction and heart
This question is about erectile dysfunction and heart disease.I had a heart attack or coronary spasm on 2/15/2018. Prior to that I had already sensed my erections were soft.. and then after the heart … read more
Dr. Sohaib
Dr. Sohaib
Fellowship in Medicine
3,350 satisfied customers
After two heart ablations one superventricular tac.&
After two heart ablations one superventricular tac.& another. Now I have irregular heart rhythm said preafib. What can help these? … read more
Dr. Phil, MD
Dr. Phil, MD
Medical Doctor
59,086 satisfied customers
Question concerning why my heart rate will not increase with
Question concerning why my heart rate will not increase with inspiration anymore. Also my oxygen drops substantially while asleep. Woke up to my pulse ox at 74.… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,196 satisfied customers
Sensation of the acceleration of the heart and this machine
Sensation of the acceleration of the heart and this machine worked heartbeat 82 What is the reason for the sense of acceleration and thank you… read more
Dr. Phil, MD
Dr. Phil, MD
Medical Doctor
59,086 satisfied customers
Myocarditis of the heart muscle for a 18 year old. How
myocarditis of the heart muscle for a 18 year old. How serious is that? Blood work is stable as of today?… read more
Dr. Phil, MD
Dr. Phil, MD
Medical Doctor
59,086 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x