Anyone know of laboratories in Pattaya where you can get a Troponin-T and Troponin-I blood test, and/or the High-Sensitivity Troponin (hs-troponin)? Also known as a cardiac troponin test, or uses the abbreviations cTn, cTnI or cTnT. These tests are for heart attack testing.

Anyone knows if Lifecare Laboratory on 3rd Rd offers these tests?

M.T Inter Lab Clinic - how good is this laboratory? Seems they might offer only the High-Sensitivity Troponin I test only. Is this the best test for previous potential heart attack testing?

Edited August 28Aug 28 by bbi1

Centre Lab Pattaya (We Health Medical Technology Clinic, Central Pattaya Road) seems to only do Troponin-I, not the high sensitivity. Is this lab any good?

Edited August 28Aug 28 by bbi1

If you need this test, you would usually need to be in a hospital Emergency Room.

Note that treponin is often not elevated in the initial staged of a heart attack. In addition, even cardiac treponin can be elevated from causes other than a heart attack. All of them potentially dangerous.

And when trepinin is elevated in a heart attack it does not permanently remain so.

This is just one of several diagnostic tools. Diagnosing an MI (heart attack) is definitely not a DIY proposition.

19 hours ago, Sheryl said:

If you need this test, you would usually need to be in a hospital Emergency Room.

Note that treponin is often not elevated in the initial staged of a heart attack. In addition, even cardian treponin can be elevated from causes other than a heart attack. All of them potentially dangerous.

And when trepinin is elevated in a heart attack it does not permanently remain so.

This is just one of several diagnostic tools. Diagnosing an MI (heart attack) is definitely not a DIY proposition.

If both Troponin tests (high sensitivity) were done one day after getting sharp stabbing pains on the left side near the centre breastbone area, caused by breathing in deeply or certain movements like bending over or laying on the left side when on the bed, this rules out a heart attack.

Serum High-Sensitivity Troponin-I came in at 1.8 ng/L, which is below the target range of 1.9 - 34.2

High-Sensitivity Troponin-T came in at 5.7 ng/L, which is in the target range of 0.0 - 14.0

The problem with running to the hospital for every chest pain is impossible and would send people broke, as similar stabbing chest pains have been happening for over 10 years on and off, and the hospital in the home country and a cardiologist found nothing, one basically diagnosing it as possible musculoskeletal pain and the cardiologist saying possible reflux/GERD that could cause similar symptoms.

3 hours ago, bbi1 said:

Serum High-Sensitivity Troponin-I came in at 1.8 ng/L, which is below the target range of 1.9 - 34.2

High-Sensitivity Troponin-T came in at 5.7 ng/L, which is in the target range of 0.0 - 14.0

I am not sure what you mean by this. There is no"target range" for these markers. High-sensitivity Troponin-I is normally below 19-20 ng and can be zero or almost zero. So your value is normal.

High sensitivty Troponin-T is normally below14.

So both of these tests are normal for you as was likely true in your home country before as well.

Normal troponin levels by themselves do not rule out stable angina as a cause of chest pain. But presumably other tests were already done in your home country that ruled out cardiac cause? (e.g. stress test, EKG during the pain episodes, angiogram?)

Pain on inspiration and chest movement can often be pleuretic in nature. Have you at any point consulted a pulomonologist?

1 hour ago, Sheryl said:

I am not sure what you mean by this. There is no"target range" for these markers. High-sensitivity Troponin-I is normally below 19-20 ng and can be zero or almost zero. So your value is normal.

High sensitivty Troponin-T is normally below14.

So both of these tests are normal for you as was likely true in your home country before as well.

Normal troponin levels by themselves do not rule out stable angina as a cause of chest pain. But presumably other tests were already done in your home country that ruled out cardiac cause? (e.g. stress test, EKG during the pain episodes, angiogram?)

Pain on inspiration and chest movement can often be pleuretic in nature. Have you at any point consulted a pulomonologist?

By target range, I mean reference range given on the laboratory report by N Health (the lab I used), which is owed by Bangkok Hospital group.

Yes, in my home country over 10 years ago I had an EKG during pain episodes at the hospital, a treadmill stress test, a 24-hour Holter monitor, all apparently normal. But no CT Angiogram.

Never consulted a pulomonologist, about this issue. Only used them as a kid when I was diagnosed with asthma, which I haven't had an episode of asthma for over a decade or more, and once in Thailand about 10 years ago when I had trouble breathing and I was diagnosed with pnemonia, which he said it's common for foreigners to get when they move to Thailand.

7 minutes ago, bbi1 said:

Never consulted a pulomonologist, about this issue. Only used them as a kid when I was diagnosed with asthma, which I haven't had an episode of asthma for over a decade or more, and once in Thailand about 10 years ago when I had trouble breathing and I was diagnosed with pnemonia, which he said it's common for foreigners to get when they move to Thailand.

How frequent are these pain episodes? If frequent I'd suggest a pulmonologist as the way you describe the pain, might be pleuritic.

5 minutes ago, Sheryl said:

How frequent are these pain episodes? If frequent I'd suggest a pulmonologist as the way you describe the pain, might be pleuritic.

Sharp pains on the left side of the chest has been happening for at least over 15 years (I'm a male in his early 40s), usually towards the centre breastbone area and sometimes a little lower but on the very left side of the body under the armpits. It happens randomly and reasonably often (I'd estimate on average, at least once a month), but the recent flareup of sharp chest pains on deep inhalation and certain body movements from 2 days ago lasted for about 2 hours before receding, then yesterday morning it came back again lasting about 2 hours as well, and last night a little when laying on the left side on the bed. Today there has been no pain. The recent flareups episodes over the past 2 days seem to be longer than it was in the past, lasting about 2 hours. The fact that this time over the past 2 days each episode lasted for over 2 hours, was what made me order the Troponin tests to make sure it wasn't the heart.

Edited August 30Aug 30 by bbi1