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Acute myocardial infarction is a heart attack that occurs when blood flow to part of the heart muscle is suddenly blocked, causing tissue damage. It is caused by coronary artery blockage, typically from a blood clot forming in arteries narrowed by atherosclerosis. The B-Type Natriuretic Peptide (BNP) test is the most important test for assessing cardiac stress and heart failure complications after a heart attack.
A heart attack is caused by a blockage in one or more coronary arteries that supply blood to your heart muscle. This blockage typically happens when a blood clot forms in an artery that has been narrowed by fatty deposits called plaque, a condition known as atherosclerosis. When the blood supply is cut off, the heart muscle begins to die from lack of oxygen. Risk factors like high cholesterol, high blood pressure, smoking, diabetes, and family history can accelerate plaque buildup and increase your chances of having a heart attack.
The B-Type Natriuretic Peptide (BNP) test is the most important blood test for assessing heart attack complications because it measures a hormone released when your heart ventricles are stretched from increased pressure due to cardiac damage. During and after a heart attack, damaged heart muscle causes elevated BNP levels, which helps doctors assess the severity of cardiac stress and detect potential heart failure complications. The Myeloperoxidase test is also valuable as it measures inflammatory enzymes released during the body's response to heart tissue damage, helping gauge the extent of cardiovascular inflammation. Together, these tests provide crucial information about both the immediate cardiac damage and your body's inflammatory response.
You should get tested immediately if you experience chest pain or pressure, shortness of breath, pain radiating to your arm or jaw, unusual fatigue, nausea, or cold sweats, as these are classic heart attack symptoms requiring emergency care. After surviving a heart attack, your doctor will order follow-up blood tests to monitor your heart's recovery and check for complications like heart failure. If you have multiple risk factors such as high blood pressure, high cholesterol, diabetes, smoking history, or family history of heart disease, regular cardiac monitoring tests can help assess your heart health and risk levels.
What this means
Your BNP level is slightly elevated above the normal range, which may indicate your heart is experiencing some strain or working harder than ideal. While this is not necessarily heart failure, it suggests your heart function should be monitored more closely, especially if you're experiencing symptoms like shortness of breath or fatigue.
Recommended actions
Reduce sodium intake to less than 2,000mg daily to decrease fluid retention
Monitor your weight daily and report sudden gains to your doctor
Incorporate gentle cardiovascular exercise like walking as tolerated
Follow up with a cardiologist for further cardiac evaluation and discuss treatment options
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