3 posts shown.
amberfox99 said:There aren't any major deviations regarding these results; for the most part, you're just hovering right at the edge of the reference ranges.
The Troponin level is elevated because during a pulmonary embolism—where the pulmonary artery exiting the right ventricle is blocked—the heart is under significantly increased stress, struggling much harder than usual to pump blood. While elevated Troponin is most commonly associated with a heart attack, in this specific context, it’s simply part of the clinical picture of the pulmonary embolism.
You shouldn't let these specific findings worry you. What matters most is that you are on an adequate anticoagulant regimen. If you've been prescribed Warfarin, make sure you get regular blood work so your doctor can monitor your INR levels.
Thank you so much for the explanation. That Troponin level was what worried me most since it deviates quite a bit from the normal range, and I had read that it spikes during heart failure. When I was admitted to the ER, they also checked my D-dimer levels, which were extremely high at
10.1 mg/L, but they didn't re-test them later, so I assume once they used it to diagnose the PE, it wasn't a priority anymore.
I’ve been referred back to the clinic at Mount Sinai for outpatient thrombophilia testing, including Factor V, Factor II, MTHFR, PAI 1, PAI 2, Lupus Anticoagulant, JAK 2 mutation, as well as flow cytometry for PNH, Homocysteine, protein C, and protein S.
Sandra Brooks91 said:I can't speak to everything else, but regarding your cholesterol levels—if you're looking at a target under 5.0 mmol/L—a reading of 5.1 isn't something you need to lose sleep over. Just toss a bit more leafy green vegetables into your diet and you'll be fine.
Unfortunately, because I'm on anticoagulant therapy, I actually have to limit my intake of anything high in Vitamin K, which mainly means cutting back on those green leafy vegetables.
Woman, 43 years old, diagnosis: bilateral pulmonary embolism (I.26.9).
I'm looking for some clarity on a few details from my discharge summary. Regarding the lab results, I'll list out only the specific items that fell outside the standard reference ranges:
Lab results
The partial pressure of oxygen (pO2) was recorded at 11.0–14.4 kPa, and my own levels were right there in that range. 15.3 Well, seven days have passed since then. 8.4
(aK) pO2 (T) (ref. interval 11.0-14.4 kPa) 15.2
(aK) BEecf (ref. interval -2 to 3 mmol/L) -3.1
(aK) BE (B) (reference interval -2 to 2 mmol/L) -2.4
My SpO2 levels were sitting right at that 95-98% reference interval. 99 Well, seven days have passed since then. 92
Total cholesterol levels—keeping them under 5.0 mmol/L is generally what the doctors recommend here in the States. 5.1
Serum triglycerides (aiming for less than 1.7 mmol/L per standard guidelines). 2.4
(S) HDL cholesterol (recommended > 45 mg/dL) 1.1
Serum urate (reference interval 134-337 µmol/L) 339
Total protein levels (reference interval 66 to 81 g/L) 63
(S) albumin (reference interval 39.5 to 58.6 g/L) 39
(S) hs Troponin I (reference value L) 46,6
MCV (reference interval 83.0-97.2 fL) 82,6
Platelets (PLT) (ref. interval 158-424 10e9/L) 442
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Echocardiogram results:
Standard Values | Measured Values | Description
The aortic root measures 2.80 cm, which falls within the standard range of 2.0–3.7 cm. The PPG is 7.6 mmHg.
Aortic valve leaflet separation: 1.5–2.6 cm, currently measuring at 1.70 cm.
Left atrium: 1.9–4.0 cm | Current measurement: 3.60 cm
LEFT VENTRICLE
Diastole: 3.5–5.7 cm | Actual measurement: 4.30 cm
Systole: Reference range 2.5–4.1 cm | Actual measurement: 3.00 cm
Septum: 0.7–1.2 cm | Measured at 0.80 cm
Poster: Posterior wall thickness: 0.7–1.2 cm; current measurement: 0.80 cm.
RIGHT VENTRICLE
Diastolic: 0.7-2.6 cm 2.70 cm
The anterior wall measures up to 0.4 cm.
The EF LV (Teichholz; Simpson) came back at 60%, which falls right within the standard 50-75% range.
LV diastolic function: First-degree dysfunction.
Wall contractility: normal.
Tricuspid valve: TR1+, PAPs 35 mmHg
Pulmonary valve: PR1+, AcT 91-100 ms
Pericardium: normal
Other observations: The MRI was an absolute disaster.
Here’s my take on these results: The left ventricle looks normal in terms of size and wall thickness, with no signs of regional contractility issues. Systolic function is perfectly fine, with an EF of 60%, though there is some diastolic dysfunction present—specifically an incomplete relaxation pattern, indicated by an E/A ratio of 0.77.
The left atrium appears to be within normal dimensions, while the right ventricle is sitting right on the borderline.
The tricuspid aortic valve shows normal leaflet separation and a normal transvalvular gradient.
Minimal mitral regurgitation, tricuspid regurgitation at 1+, pulmonary artery systolic pressure around 35 mmHg, and pulmonary artery systolic pressure.
The pericardium appears normal. There are no visible intracavitary masses.
EKG results: Sinus rhythm at 93 bpm with moderate electrical axis deviation and ST-T wave changes.
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Holter monitor.During the monitoring period, which spanned exactly 20 hours and 11 minutes, a total of 107,206 heartbeats were recorded. The baseline rhythm was sinus rhythm, with an average heart rate of 89 beats per minute (ranging from a minimum of 66 bpm to a maximum of 126 bpm). There was no ectopic activity noted, specifically showing zero supraventricular ectopic beats (SES) and zero ventricular ectopic beats (VES). Furthermore, there were no disturbances in AV conduction or any significant RR pauses detected. The ST segment dynamics and T waves remained normal throughout.
I also had a venous color Doppler performed, which came back normal—no signs of DVT. My chest X-ray showed everything was fine, including the heart and aorta, and the abdominal ultrasound was clear as well. However, the CT scan confirmed bilateral pulmonary embolisms.
I’m honestly at a loss regarding what this specific dysfunction means, nor can I make sense of that MR trace showing up on the cardiac ultrasound. (In my mind, everything seems to be holding steady, but I went ahead and asked for further clarification on the points that still feel fuzzy to me.) Additionally, I'm trying to gauge just how much weight these various deviations in the blood work should actually carry.
Thanks.