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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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My Cardiac Enzymes Are Elevated After Doing Heavy Work

My cardiac enzymes are elevated after doing heavy work. Should I be worried??
My CK was 930 with CKMB of 5.5 and MBI of 0.6, Myoglobin 117, Troponin <0.06. The next day the CK was 550, CKMB 3.3, MBI 0.5, Myo 143, Trp <0.06. I'm thinking this is a lot of just skeletal muscle causing this elevation, but I'll probably see a doctor just in case. Good question, dintym. I'm checking these myself. I work in a hospital lab and ran these tests. I see patient results all the time and I understand the values, but I just needed a little objectivity. Coworkers suggestions are conflicting so I thought I'd ask people who could be more objective. I plan to see a doctor in the next few days and share these results with him. Thank you.
Sun, 20 Dec 2009
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Sounds like skeletal muscle especially since the troponin is normal. My CK shot up right after I started swimming - and is normal again. It is good to know what is normal for you but you may be over-analyzing this data a bit since it is on you. I think seeing a doctor tho is an excellent advice because lab values are only a part of the picture - that in combination with how your heart sounds, EKG readings and the like will paint a much better picture of your overall health and heart attack risk. Also - did you perform a lipid profile as well????How's your cholesterol and also how's your BP??? PS HIPPA and hospital regulations prevent us from performing laboratory tests on ourselves where I work - and if the tests are ordered by a doc, we are not allowed to look up the results! Bummer - i know.

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My Cardiac Enzymes Are Elevated After Doing Heavy Work

Sounds like skeletal muscle especially since the troponin is normal. My CK shot up right after I started swimming - and is normal again. It is good to know what is normal for you but you may be over-analyzing this data a bit since it is on you. I think seeing a doctor tho is an excellent advice because lab values are only a part of the picture - that in combination with how your heart sounds, EKG readings and the like will paint a much better picture of your overall health and heart attack risk. Also - did you perform a lipid profile as well????How s your cholesterol and also how s your BP??? PS HIPPA and hospital regulations prevent us from performing laboratory tests on ourselves where I work - and if the tests are ordered by a doc, we are not allowed to look up the results! Bummer - i know.