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Dr Basu
Dr Basu, Experienced Specialist
Category: Medical
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Experience:  MD
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I was admitted to hospital with chest pain/jaw pain/sweating/fatigue/shoulder

Resolved Question:

I was admitted to hospital with chest pain/jaw pain/sweating/fatigue/shoulder pain a month after a normal echocardiogram
My troponin test was 44 I was given aspirin and kept in the repeat test however was under 10 I was told it wasn't a heart attack and to go home a few weeks later after talking to my gp I was given a by scan of my heart that was also normal
My bp is always ok and my cholesterol is fine and I think my thyroid is ok but my liver function was slightly only slightly raised
I am on propranolol for tachycardia
If it wasn't a heart attack why was my troponin raised? Why did it drop back down six hours later ?
I'm still suffering these symptoms everyday of my life I'm actually having to carry a towel with me my face sweats that much
I daren't go outside due to walking around my cause a heart attack
Am I on my way to a heart attack? I've heard people can be like this before a heart attack
My life feels ruined over the fear
Please help thank you x
Submitted: 3 years ago.
Category: Medical
Expert:  Dr Basu replied 3 years ago.
Dr Basu :

Hi there, This is Dr Basu, Experienced Specialist. I am here to address your concerns and provide great service.

Dr Basu :

Very interesting.

Dr Basu :

Troponin can be elevated with inflamation of the heart covering or muscle.

Dr Basu :

Pericarditis, or myocarditis can cause similar symptoms and raised troponin.

Dr Basu :

Thse conditions do not affect the heart blood vessels.

Dr Basu :

And echocardiogram may miss the diagnosis initially.

Dr Basu :

The inflammation in the heart can last for several weeks.

Dr Basu :

The diagnosis of myocarditis is made by the endomyocardial biopsy( EMB).

Dr Basu :

THis is performed by a cardiologist.

Dr Basu :

Myocarditisc can be caused by the iral infection, or bacterial infection, or by the autoimmune reactions ( body is attacking its own tissue for unknown reasons).

Dr Basu :

Myocarditis typically affects young adults with no other imaging findings but with elevated troponins and symptoms as you described.

Dr Basu :

Usually the prognosis is good in mild cases.

Dr Basu :

There is no significant risk of heart attack.

Dr Basu :

However, you do need to see a cardiologist to establish the diagnosis by the endomyocardial biopsy.

Dr Basu :

Best wishes,

Dr Basu :

It was my pleasure to help you today.
I am Dr Basu experienced in Cardiovascular Conditions.
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Expert:  Dr Basu replied 3 years ago.
Dr Basu : Hi there, This is Dr Basu, Experienced Specialist. I am here to address your concerns and provide great service.
Dr Basu : Very interesting.
Dr Basu : Troponin can be elevated with inflamation of the heart covering or muscle.
Dr Basu : Pericarditis, or myocarditis can cause similar symptoms and raised troponin.
Dr Basu : Thse conditions do not affect the heart blood vessels.
Dr Basu : And echocardiogram may miss the diagnosis initially.
Dr Basu : The inflammation in the heart can last for several weeks.
Dr Basu : The diagnosis of myocarditis is made by the endomyocardial biopsy( EMB).
Dr Basu : THis is performed by a cardiologist.
Dr Basu : Myocarditisc can be caused by the iral infection, or bacterial infection, or by the autoimmune reactions ( body is attacking its own tissue for unknown reasons).
Dr Basu : Myocarditis typically affects young adults with no other imaging findings but with elevated troponins and symptoms as you described.
Dr Basu : Usually the prognosis is good in mild cases.
Dr Basu : There is no significant risk of heart attack.
Dr Basu : However, you do need to see a cardiologist to establish the diagnosis by the endomyocardial biopsy.
Dr Basu : Best wishes,
Dr Basu : It was my pleasure to help you today.
I am Dr Basu experienced in Cardiovascular Conditions.
If I have answered all your questions, Please rate my response Excellent (click on the smiley faces) under this chat box only.
Please bookmark my profile for asking further questions!
This is the link to my profile:
http://www.justanswer.com/medical/expert-mysticdoc/
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