want to ask there is a 51 year old man complaining of pain in his stomach for 5 days, sweating, weakness, and headaches. Height 10 cm, weight 98 kg and blood pressure 140/105 mmHg. The results of ekg show that there has been a change during the last 6 months. Family history of the father died at the age of 62, due to diabetes mellitus and AMI. Then do a blood test CK: 129 UL nCK MB: 35% nLDH: 280 U / L nAST: 35 U / L
From the information you have conveyed, there is a history of patient complaints with increased sweating, headaches, weakness, and accompanied by a weight of 98 kg, then this cannot be a benchmark for diagnosing AMI. However, laboratory results indicate an increase in CKMB indicates an increase in heart muscle damage, but the CKMB examination alone is not supported by signs or other laboratory supporting examination results, so this still needs further examination and evaluation. With the help of troponin examination and ECG examination, it will be more useful in determining the diagnosis of AMI. However, increasing the CKMB value still needs to consider the risk of a patient with AMI.
Therefore, you should advise the patient to continue the examination and evaluation. If necessary, further tests will be given to confirm the patient's clinical condition, such as an ECG and troponin examination. The cardiologist will evaluate all the risks and possibilities that occur.
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