Chest pain laboratory findings: Difference between revisions
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===Cardiac Markers=== | ===Cardiac Markers=== | ||
* [[Troponin]] I or T are now cardiac marker of choice and are preferred over creatine kinase. | * [[Troponin]] I or T are now cardiac marker of choice and are preferred over creatine kinase. | ||
* No one marker gives accurate diagnosis so commonly two markers are used for instance Troponin I or T with [[creatine kinase]] (and | * No one marker gives accurate diagnosis so commonly two markers are used for instance Troponin I or T with [[creatine kinase]] (and CK-MB fraction in many hospitals) | ||
===Blood Tests=== | ===Blood Tests=== | ||
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* Renal function (creatinine) | * Renal function (creatinine) | ||
* Liver function tests | * Liver function tests | ||
==References== | |||
{{Reflist|2}} | |||
Revision as of 16:54, 22 January 2013
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
Serial troponins and CK-MB should be ordered. Additional laboratory tests include serum electrolytes, a complete blood count, renal function tests, and liver function tests.
Laboratory Findings
On the basis of the above, a number of tests may be ordered:
Cardiac Markers
- Troponin I or T are now cardiac marker of choice and are preferred over creatine kinase.
- No one marker gives accurate diagnosis so commonly two markers are used for instance Troponin I or T with creatine kinase (and CK-MB fraction in many hospitals)
Blood Tests
- D-dimer (when suspicion for pulmonary embolism, aortic dissection)
- Complete blood count
- Electrolytes
- Renal function (creatinine)
- Liver function tests