- Joined
- Nov 4, 2000
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Here's the deal -
85 y/o female, healthy other than breast cancer w/o masectomy and high blood pressure. No previous history of SOB or chest pain. No family cardiac history. Family history if DM, but not diagnosed herself.
Presents in ER during AM after night of S.O.B. and slight chest pain.
Triponin slightly elevated, BNP 1100, other labs normal, blood glucose 180, all other labs normal
The lady was admitted with a dx of CHF. After cardiology consult, dx is changed to MI.
My question is why is the BNP so high? Is this a response to the MI? Or could this be failure w/a complicating MI? I'm confused because I was under the impression that a BNP > than 400 was considered severe CHF and with this lady have no prior history of failure symptoms it seems strange that it would first be detected at this level. Where, if at all, does the glucose level play in?
Please educate me.
Dave
PS... the lady is my g-ma, so I'm trying to get as much info as I can.
85 y/o female, healthy other than breast cancer w/o masectomy and high blood pressure. No previous history of SOB or chest pain. No family cardiac history. Family history if DM, but not diagnosed herself.
Presents in ER during AM after night of S.O.B. and slight chest pain.
Triponin slightly elevated, BNP 1100, other labs normal, blood glucose 180, all other labs normal
The lady was admitted with a dx of CHF. After cardiology consult, dx is changed to MI.
My question is why is the BNP so high? Is this a response to the MI? Or could this be failure w/a complicating MI? I'm confused because I was under the impression that a BNP > than 400 was considered severe CHF and with this lady have no prior history of failure symptoms it seems strange that it would first be detected at this level. Where, if at all, does the glucose level play in?
Please educate me.
Dave
PS... the lady is my g-ma, so I'm trying to get as much info as I can.