Question

CASE STUDY 26.2 A 59-year-old woman came to the emergency department of a local hospital complaining of pain and a feeling of heaviness in her abdomen for several days. She reported no weakness, chest pain, or left arm pain. She has no chronic health problems except for seasonal allergies and slightly elevated total cholesterol. 8:30 PM, April 11 6:30 AM, April 12 Cardiac Enzymes Total CK (54-186 U/L) 170 106 CK-MB (0-5 ng/mL) 6.3 3.8 % CK-MB (<6%) 3.7 3.6 Myoglobin (<70 ng/L) 52 41 Troponin T (0-0.1 pg/L) 0.8 2.3 Questions: 1. Do the symptoms and personal history of this patient suggest acute MI? Based on the preceding laboratory data, would this diagnosis be acute MI? 3. Why or why not?

          CASE STUDY 26.2
A 59-year-old woman came to the emergency department of a local hospital complaining of pain and a feeling of heaviness in her abdomen for several days. She reported no weakness, chest pain, or left arm pain. She has no chronic health problems except for seasonal allergies and slightly elevated total cholesterol.

8:30 PM, April 11
6:30 AM, April 12
Cardiac Enzymes
Total CK (54-186 U/L)
170
106
CK-MB (0-5 ng/mL)
6.3
3.8
% CK-MB (<6%)
3.7
3.6
Myoglobin (<70 ng/L)
52
41
Troponin T (0-0.1 pg/L)
0.8
2.3

Questions:
1. Do the symptoms and personal history of this patient suggest acute MI? Based on the preceding laboratory data, would this diagnosis be acute MI?
3. Why or why not?

Added by Barbara L.

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