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  • Questions about troponin levels?

    [Questions about troponin levels?]

    Author: Mary Sharp (---.proxy.aol.com)

    Date: 09-26-02 15:33

    Hey everyone! Sorry I haven't posted in a while, Been doing a lot of running around and planning for Boston! My insurance approved my trip there! YIPEEE! I couldn't have done it without you guys! But all of this scrambling plus school and work really took it out of me. I ended up spending the night in the hospital that stinks.

    I do have a few questions though. Does anyone have chronicaly high troponin levels. My docs are thinking that that could be one of my problems. I did take a blood test earlier this week when I was feeling ok to see if that is the case. My local cardiologist said he really hoped that that is what it was. Because if that was not the case he said that each one of my episodes could actually be small heart attacks. That is kinda of scary to think about at age 22. Also how accurate are tilt-table test in seeing about my fainting episodes. He seemed really concerned about those, and is there anybody that is taking a calcium-channel blocker and a beta-blocker for this condition. He said my bp would not handle anymore of the Cardiziem it was steady at 95/56 in the hospital on a dose of 360mg? Any answers would greatly be appreciated!

    Mary S.

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    [Re: Questions about troponin levels?]

    Author: Dolly W (---.i-55.com)

    Date: 09-26-02 16:24

    Hi Mary,

    I'm taking high doses of both Verapamil (calcium-channel blocker) and Propranolol (beta-blocker). My B/P usually stays around 110/70. I'm curious about the troponin levels too. About a year ago I had an elevated troponin level, but they couldn't determine whether or not I had experienced a heart attack. Interesting!

    Sorry, I don't know about the tilt table test.

    Take care of yourself, hope you're feeling better.

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    [Re: Questions about troponin levels?]

    Author: mary sharp (---.net237.fl.sprint-hsd.net)

    Date: 09-27-02 20:19

    Well I saw my local cardiologist about my enzyme test today. Well they were completly normal. Now I am a bit scared! I remember someone on this board stating something about enzyme leaks. But I can't remember exactly what they said or their seriousness. If the heart is in fact receiving some sort of damage can it be repaired like other muscle or does the scar tissue eventually add up to irrreversable damage! Any responses would be greatly appreciated!

    Mary S.

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    [Re: Questions about troponin levels?]

    Author: Pat (---.d00832.dlup.digitaldune.net)

    Date: 09-28-02 11:16

    Mary,

    My understanding of the measuring of enzyme levels is that the levels go up when there is cardiac muscle damage. For example, when people have heart attacks their cardiac enzyme levels rise. Since yours are normal I'd believe that it's very good and you haven't had even a small heart attack.

    Pat

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    [Re: Questions about troponin levels?]

    Author: SB -Board Moderator (---.dsl.chcgil.ameritech.net)

    Date: 09-28-02 20:37

    My specialist told me that troponin is a bit trigger happy and you can have elevated levels without having had a heart attack. In general, you don't want the enzymes to go up, obviously, but other than taking care of yourself and taking your meds and seeing a specialist, there is nothing you can do to prevent your enzymes from spiking if something happens. It is something to pay attention to if they go up a lot or often in order to treat you more effectively.

    Mary, as for damage, an enzyme leak or spike of just troponin is unlikely to cause anywhere as much damage as a heart attack. I don't think the heart heals the same as other muscle, though. Anyone?

    S

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    [Re: Questions about troponin levels?]

    Author: mary sharp (---.net354.fl.sprint-hsd.net)

    Date: 09-30-02 12:29

    I was reading through my exercise stress tests and my local cardiologist reported that I had a flat blood pressure response to the test. Does this fall under the heading of adverse blood pressure response in regards to getting an ICD?

    Mary s.

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    [Re: Questions about troponin levels?]

    Author: Sarah B--Board Moderator (---.client.attbi.com)

    Date: 09-30-02 12:39

    Dear Mary,

    Mmmm, yup. As long as you were exercising enough to raise your heart rate, your bp should have gone up too. Flat or down, not "correct" responses. Do you have other risk factors too? Matt at Disney has an ICD, have you talked to him about the experience?

    S

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    [Re: Questions about troponin levels?]

    Author: mary sharp (---.net354.fl.sprint-hsd.net)

    Date: 09-30-02 12:49

    Well I was reading the information book that the Hcma sent me and well, I have non-sustained v-tach on a holter, unexplained syncope, family history, and I'm guessing abnormal blood pressure response. I have a pretty good feeling what Dr. Maron is going to say next Friday. I guess I am hoping I can put it off until clinicals are done.

    Matt and I have talked about it and it doesn't sound so bad but timing is not good right now. I cannot miss school at this point.

    mary S.

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    [Re: Questions about troponin levels?]

    Author: Sarah B--Board Moderator (---.client.attbi.com)

    Date: 09-30-02 15:20

    Dear Mary,

    Hmm. I suspect you suspect rightly. There never is a good time, though, is there? Maybe you can talk to your school and work out a deal so you can take incompletes and do the work later or something. I know what a huge pain it is to miss a chunk of school, but most of the people who posted about ICDs said they were back to walking around quickly --you may only have to miss a couple weeks. If your profs are cool, it could work out.

    take care

    Sarah

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    [Re: Questions about troponin levels?]

    Author: mary sharp (---.net252.fl.sprint-hsd.net)

    Date: 09-30-02 22:45

    yeah I figure if I take the week off of work and just attend class not do anything physical I don't believe my professor will have a problem with that. I plan on talking to her about it as soon as I get the answer from Dr. M.

    Anyhow wish me luck on my Tilt-Table test. I am not looking forward to them trying to make me pass out. Just not my idea of fun!

    Thanks

    mary S.

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    [Re: Questions about troponin levels?]

    Author: Millie (---.24.223.186.Dial1.Philadelphia1.Level3.ne)

    Date: 10-02-02 09:50

    What is a tilt-table test? I've never heard of it. Also, do you get frequent blood exams to check for troponin levels as an HCM patient? My son has HCM and gets checked regularly but we never have blood work done.

    I understand your fears with an ICD. I was afraid for my son - - he was eight when he had his implantation of AICD/pacemaker. If it were me, I would probably be in bed a whole week recovering. He was back in school within days of the surgery (surgery was a Thurs. and he was back Monday). Youth is a blessing you know. You'll be fine.
    NOTE: This is a post from the previous forum message board.

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