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What do my lab test results indicate?

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Posted on Mon, 9 May 2016
Question: MyCPKMB is 415 and the ratio is 8.3 I am 70 y/o female with pain near right scapula, profuse sweating with activity and some SOB which has gone on now for 4 days. The ER doctor told me my levels were normal! What is really going on?
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Answered by Dr. Meriton Siqeca (1 hour later)
Brief Answer:
Cardiac tests

Detailed Answer:
Greetings, madame.

Thank you for the question and welcome to HCM. I understood your concern.

Well, these may not be figures to worry about. However, some further tests are mandatory. if this result is accurate. A such figure of creatine phospho kinase myocardium/brain (CPK-MB). In this scenario My main goal is to exclude the heart origin of the problem. These figures actually are high, and require further investigation.

Therefore, I would recommend you the following tests:
- troponin I - a cardiac marker of the heart muscle, which is a detector of the acute ischemia of the heart muscle
- an EKG - to evaluate whether acute or chronic phenomena are present or not
- echo cardiogram - which will assess the current size, volume and motility of the heart chambers.

Based on the rests if these tests, further tests may be recommended.

I hope I was helpful with my answer. If you have followup questions, I am happy to help.

Kindest regards,
Dr. Meriton

Above answer was peer-reviewed by : Dr. Raju A.T
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Dr. Meriton Siqeca

Cardiologist

Practicing since :2009

Answered : 773 Questions

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What do my lab test results indicate?

Brief Answer: Cardiac tests Detailed Answer: Greetings, madame. Thank you for the question and welcome to HCM. I understood your concern. Well, these may not be figures to worry about. However, some further tests are mandatory. if this result is accurate. A such figure of creatine phospho kinase myocardium/brain (CPK-MB). In this scenario My main goal is to exclude the heart origin of the problem. These figures actually are high, and require further investigation. Therefore, I would recommend you the following tests: - troponin I - a cardiac marker of the heart muscle, which is a detector of the acute ischemia of the heart muscle - an EKG - to evaluate whether acute or chronic phenomena are present or not - echo cardiogram - which will assess the current size, volume and motility of the heart chambers. Based on the rests if these tests, further tests may be recommended. I hope I was helpful with my answer. If you have followup questions, I am happy to help. Kindest regards, Dr. Meriton