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A 51-yar-old overweight white man visits his family physician complaining of indigestion that has lasted for 5 days. He has also had bouts of sweating, malaise, and headache. His blood pressure is 140/105 mmHg. His family history includes a father with diabetes who died at age 62 of AMI secondary to diabetes mellitus. An electrocardiogram performed on the patient revealed changes from on performed 6 months earlier. Chemistry results are listed below:
Analyte Result
CK 129 U/L
CK-MB 51 U/L (4% of total CK)
LD 280 U/L
LD Isoenzymes LD1 > LD2
AST 35 U/L
1. Can we rule out AMI in this patient? Why or why not?
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