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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Having High Level Of CKP Enzymes With BP And Pulse Being Normal Serious?

Greetings .ima 49 year old latin male with hbp ,diabetes,bradicardy i use diovan 160\ 12.5 .im a little sedentary but very active and hands on,im not overweight and keepmy diabetes on check with diet.today i went to the e\r cause i felt dizzy and have been monitoring my bp and pulse and both of them where to low (86/45 pulse 48) after a ekg ( that acording to the doctor was fine he order a few blood test when the result went back he ask my if i was doing some xtreme exercises,told him that during the week end a perform a series of mortar demolitions and he told me that he was worried causeMy ckp enzymes were on 900 and now he find out why cause it was a reaccion of the exercise and send me home.im worried because i know a little about hart enzymes and i believe that having high levels of enzymes is a bad sign. Thanks for ur answer Manuel
Fri, 26 Jun 2015
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Critical Care Specialist 's  Response
Hi,
Your CPK levels are significantly high, and since the ECG with other tests were normal, so it is less likely to be cardiac.
Raised CPK can be due to some oral euglycaemic drugs (like metformin), or due to statins which might be prescribed to you. A condition commonly named as rhabdomyolysis should also be ruled out.
With all above facts, and the clinical scinario, i would recommend you to discuss with your primary care physician for thorough cardiac evaluation, with sequential ECGs, cardiac specific enzymes (troponin, CKMB), and other stress tests, too rule out ischaemic event in heart, which could be the reason for the clinical scenrio with which you presented at hospital.
Regards
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Is Having High Level Of CKP Enzymes With BP And Pulse Being Normal Serious?

Hi, Your CPK levels are significantly high, and since the ECG with other tests were normal, so it is less likely to be cardiac. Raised CPK can be due to some oral euglycaemic drugs (like metformin), or due to statins which might be prescribed to you. A condition commonly named as rhabdomyolysis should also be ruled out. With all above facts, and the clinical scinario, i would recommend you to discuss with your primary care physician for thorough cardiac evaluation, with sequential ECGs, cardiac specific enzymes (troponin, CKMB), and other stress tests, too rule out ischaemic event in heart, which could be the reason for the clinical scenrio with which you presented at hospital. Regards