Chest pain laboratory findings: Difference between revisions
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==Laboratory Findings== | ==Laboratory Findings== | ||
On the basis of the above, a number of tests may be ordered: | On the basis of the above, a number of tests may be ordered: | ||
===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 CK-MB fraction in many hospitals) | * 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==== | ||
* [[D-dimer]] (when suspicion for [[pulmonary embolism]], aortic dissection) | * [[D-dimer]] (when suspicion for [[pulmonary embolism]], aortic dissection) | ||
* [[Complete blood count]] | * [[Complete blood count]] | ||
Revision as of 20:39, 25 February 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