What does this patient have?

[shroomysoup]

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The patient came into the ER complaining of chest pressure (pain radiated down his left arm) and weakness. I already know he has hypothyroidism problems, but I'm not sure about his cardiac enzymes. He did not complain of shortness of breath, no abdominal pain, no pain the calves, no leg edema. Chest radiography just showed cardiomegaly with no infiltrates, effusions, pneumothoraces, or consolidation, and apparently no acute disease. The patient has a history of chronic heart failure. Did he suffer a heart attack or are these cardiac values normal for his chronic HF? Also, a physician suggested that the elevated CKMB was because of his hypothyroidism? How does that work? Here are his lab values:

D-Dimer: 0.58 (high?)
Troponin I: <0.040 (upon admission), 0.07 (one day later) (high)
CKMB: 28.1 (high)
BNP: 168 (high)
CK isoenzymes: 1243 (high)

 

[FruitFly]

gastroenteritis. Your welcome.

 

[momoftwosons]

Have you considered costochondritis?

 

[iphetamine]

The patient came into the ER complaining of chest pressure (pain radiated down his left arm) and weakness. I already know he has hypothyroidism problems, but I'm not sure about his cardiac enzymes. He did not complain of shortness of breath, no abdominal pain, no pain the calves, no leg edema. Chest radiography just showed cardiomegaly with no infiltrates, effusions, pneumothoraces, or consolidation, and apparently no acute disease. The patient has a history of chronic heart failure. Did he suffer a heart attack or are these cardiac values normal for his chronic HF? Also, a physician suggested that the elevated CKMB was because of his hypothyroidism? How does that work? Here are his lab values:

D-Dimer: 0.58 (high?)
Troponin I: <0.040 (upon admission), 0.07 (one day later) (high)
CKMB: 28.1 (high)
BNP: 168 (high)
CK isoenzymes: 1243 (high)

why does a pharmacist need to know all this, are you a clinical pharmacist?

 

[ItsOverZyvox]

Patient suffered myocardial infarction and/or tissue damage. Delayed increase in Troponin and increase cardiac enzymes indicate so...

 

[ItsOverZyvox]

If anything, hyperthyroidism could exacerbate cardiac function...tachycardia..ischemia, arrhythmias etc...and thereby triggering and MI? Maybe he OD'd on synthroid..