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The Third Heart Attack
- by One Heart Network
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We hit the hat trick, heart attack #3. On to October 22, 2022. It’s a nice day out and my wife and I were enjoying some show on the deck and decided we wanted to get out of the house. So I start getting ready and after I stepped out of the shower, I felt just a small tingle. By this point if the wind twitches so much as a degree I can usually pick up on it. I say that just to convey to you that not everyone experiences the same symptoms, and there are differences in how symptoms manifest themselves between men and women. I start the normal interrogation process, blood pressure, etc.
So off to the hospital we go again, walk myself to the emergency room counter and let them know that I was either having a heart attack or a bad case of indegestion, and I don’t get indegestion, so let’s assume it’s another heart attack. Here comes the rub for heart attack number 3, it happened on a Saturday. For any of you that have spent any amount of time in the hospital you know the odds of getting immediate attention from the overly eager cardiologist that is oncall are slim. So from the time the first set of labs were taken at 3:42 pm on 10/22 until until the 8th and final one taken at 7:13 pm my troponin levels went from 152 ng/L to 10,731 ng/L, always keep this in mind, time is muscle. The longer you wait and the higher the levels, the more damage that can be done.
High Troponin Sensitivity Results
As someone living with advanced heart failure, I want to share important information about troponin levels, which play a crucial role in monitoring heart health. Troponin levels are measured in nanograms per milliliter (ng/mL) through a blood test to detect heart muscle damage. For healthy adults, these levels are typically very low or undetectable. Generally, a level above 0.40 ng/mL is considered high and could indicate a heart attack. However, the normal ranges can vary between laboratories and depending on the type of troponin test. For instance, the normal range for troponin I is 0–0.04 ng/mL, while for high-sensitivity cardiac troponin (hs-cTn), it is below 14 ng/L.
Other conditions that can cause elevated troponin levels include:
– Atrial fibrillation
– Heart failure
– Myocarditis
– Damage from anthracycline medications
– Pulmonary embolism
– Kidney disease
– Stroke
– Infection
– Pneumonia
– Critical illness
Troponin levels usually rise a few hours after a heart attack and peak within about a day. If your levels remain elevated after a heart attack, it could mean you have a higher risk of experiencing another heart attack or other complications.
According to a 2023 study, extremely high cardiac troponin levels, more than 10,000 times the upper limit of normal (ULN), are rare but indicate a high risk of adverse events. Patients with these levels may benefit from early referral for advanced heart failure therapies and a discussion about their care goals.
In general, troponin levels above 0.40 ng/mL are considered high and can indicate a heart attack. However, exact measurements can vary. For example, in a high-sensitivity test, troponin I levels are typically considered elevated if they’re above 40 ng/L, while troponin T levels may be considered high if they’re above 14 ng/L for women and 22 ng/L for men.
It’s important to interpret troponin levels within the context of the reference range provided by the reporting laboratory. Elevated troponin levels indicate that troponin has been released into the bloodstream due to heart muscle damage. The higher the level, the greater the likelihood of heart damage.
Troponin levels can become elevated within 3–6 hours of heart damage and remain high for 10–14 days. Most patients who have had a heart attack will show elevated levels within 6 hours, and almost everyone will have them after 12 hours.
Other conditions that can cause elevated troponin levels include:
– Sepsis
– Kidney failure or chronic kidney disease
– Heart failure
– Chemotherapy-related heart damage
– Pulmonary embolism
– Abnormally fast heartbeat
– Pulmonary hypertension
– Heart surgery
– Infections or inflammation in the heart
If you have high troponin levels, it’s essential to talk with your doctor. They will interpret your results in the context of your clinical history, ECG findings, and cardiac imaging to make a diagnosis and determine the best course of action for your health.
Troponin levels typically rise a few hours after a heart attack and peak within about a day. If your troponin levels remain elevated after a heart attack, it could indicate a higher risk of experiencing another heart attack or other complications.
Very high levels of troponin are a sign that a heart attack has occurred. Most patients who have had a heart attack have increased troponin levels within 6 hours. After 12 hours, almost everyone who has had a heart attack will have raised levels. Troponin levels may remain high for 1 to 2 weeks after a heart attack.
Clinicians interpret troponin results considering various factors, including your medical history, ECG findings, and cardiac imaging, to make a diagnosis. If you have high troponin levels, it’s essential to talk with a doctor to understand what this means for your health and to determine the next steps in your care.
Excerpt From Heart Attack #3 Discharge
For those of you that don’t believe in second chances, please take a second to look around you, second chances do exist, just be sure to take advantage of it when it comes along. Even when the cards may be stacked against you, if you take the necessary steps regarding your health, you can make it through anything. It’s when you do nothing that costs you the most.
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We hit the hat trick, heart attack #3. On to October 22, 2022. It’s a nice day out and my wife and I were enjoying some show on the deck and decided we wanted to get out of the house. So I start getting ready and after I stepped out of the shower, I felt just a small tingle. By this point if the wind twitches so much as a degree I can usually pick up on it. I say that just to convey to you that not everyone experiences the same symptoms, and there are differences in how symptoms manifest themselves between men and women. I start the normal interrogation process, blood pressure, etc.
So off to the hospital we go again, walk myself to the emergency room counter and let them know that I was either having a heart attack or a bad case of indegestion, and I don’t get indegestion, so let’s assume it’s another heart attack. Here comes the rub for heart attack number 3, it happened on a Saturday. For any of you that have spent any amount of time in the hospital you know the odds of getting immediate attention from the overly eager cardiologist that is oncall are slim. So from the time the first set of labs were taken at 3:42 pm on 10/22 until until the 8th and final one taken at 7:13 pm my troponin levels went from 152 ng/L to 10,731 ng/L, always keep this in mind, time is muscle. The longer you wait and the higher the levels, the more damage that can be done.
High Troponin Sensitivity Results
As someone living with advanced heart failure, I want to share important information about troponin levels, which play a crucial role in monitoring heart health. Troponin levels are measured in nanograms per milliliter (ng/mL) through a blood test to detect heart muscle damage. For healthy adults, these levels are typically very low or undetectable. Generally, a level above 0.40 ng/mL is considered high and could indicate a heart attack. However, the normal ranges can vary between laboratories and depending on the type of troponin test. For instance, the normal range for troponin I is 0–0.04 ng/mL, while for high-sensitivity cardiac troponin (hs-cTn), it is below 14 ng/L.
Other conditions that can cause elevated troponin levels include:
– Atrial fibrillation
– Heart failure
– Myocarditis
– Damage from anthracycline medications
– Pulmonary embolism
– Kidney disease
– Stroke
– Infection
– Pneumonia
– Critical illness
Troponin levels usually rise a few hours after a heart attack and peak within about a day. If your levels remain elevated after a heart attack, it could mean you have a higher risk of experiencing another heart attack or other complications.
According to a 2023 study, extremely high cardiac troponin levels, more than 10,000 times the upper limit of normal (ULN), are rare but indicate a high risk of adverse events. Patients with these levels may benefit from early referral for advanced heart failure therapies and a discussion about their care goals.
In general, troponin levels above 0.40 ng/mL are considered high and can indicate a heart attack. However, exact measurements can vary. For example, in a high-sensitivity test, troponin I levels are typically considered elevated if they’re above 40 ng/L, while troponin T levels may be considered high if they’re above 14 ng/L for women and 22 ng/L for men.
It’s important to interpret troponin levels within the context of the reference range provided by the reporting laboratory. Elevated troponin levels indicate that troponin has been released into the bloodstream due to heart muscle damage. The higher the level, the greater the likelihood of heart damage.
Troponin levels can become elevated within 3–6 hours of heart damage and remain high for 10–14 days. Most patients who have had a heart attack will show elevated levels within 6 hours, and almost everyone will have them after 12 hours.
Other conditions that can cause elevated troponin levels include:
– Sepsis
– Kidney failure or chronic kidney disease
– Heart failure
– Chemotherapy-related heart damage
– Pulmonary embolism
– Abnormally fast heartbeat
– Pulmonary hypertension
– Heart surgery
– Infections or inflammation in the heart
If you have high troponin levels, it’s essential to talk with your doctor. They will interpret your results in the context of your clinical history, ECG findings, and cardiac imaging to make a diagnosis and determine the best course of action for your health.
Troponin levels typically rise a few hours after a heart attack and peak within about a day. If your troponin levels remain elevated after a heart attack, it could indicate a higher risk of experiencing another heart attack or other complications.
Very high levels of troponin are a sign that a heart attack has occurred. Most patients who have had a heart attack have increased troponin levels within 6 hours. After 12 hours, almost everyone who has had a heart attack will have raised levels. Troponin levels may remain high for 1 to 2 weeks after a heart attack.
Clinicians interpret troponin results considering various factors, including your medical history, ECG findings, and cardiac imaging, to make a diagnosis. If you have high troponin levels, it’s essential to talk with a doctor to understand what this means for your health and to determine the next steps in your care.
Excerpt From Heart Attack #3 Discharge
For those of you that don’t believe in second chances, please take a second to look around you, second chances do exist, just be sure to take advantage of it when it comes along. Even when the cards may be stacked against you, if you take the necessary steps regarding your health, you can make it through anything. It’s when you do nothing that costs you the most.
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