|
Cardiac
Markers after 24 hours of admission
| Cardiac
Marker |
Normal Range |
Patient Values |
| Creatine
Phophokinase (CPK) |
25-90 U/L |
630 U/L |
| CPK-MB
(cardiac-specific) |
0-7 U/L |
45 U/L |
| Troponin 1 |
0-0.4 ng/ml |
3.9 ng/ml |
Instructor's
Notes:
Note
1:
As
we see from the results above, there is a significant rise in the
cardiac serum enzymes and the cardiac-specific protein
troponin-I. This is expected in patients with an with AMI and
represents the heart's delayed response to release of these
substances after tissue damage. Typically, these markers
"plateau" after 24-48 hours and then begin to return to
normal as the heart tissue heals.
Additional
Blood Tests Relating Risk Factors of Heart Disease:
 Note
2:
The
risk factor tests show increases in total cholesterol,
trigycerides and phospholipids. These are lipids (fats) bound to
their carrier protein molecules and abnormal levels are
contributors to the formation of coronary plaque. The decrease in
High Density Lipoproteins (the so-call "good cholesterol")
is significant because they play an important role in bringing
cholesterol back into tissue, thus reducing plaque formation by
reducing the amount circulating in the bloodstream. The increase
in the "bad cholesterol" LDL, is also significant
because it increases oxidative processes that contribute to
plaque formation in the coronary vessle wall.
|
