Hi friend,
Welcome to Health Care Magic
Elevated enzymes mean a recent event.
In threatened episode or old attacks, enzymes can be normal...
You have not stated your personal habits, co-morbidities or your age ...they could influence the diagnosis and outcome...
You need to be investigated for Coronary
Artery Disease.
TMT (Treadmill Exercise ECG) is necessary to evaluate
ischemia. If positive, the next step is TMT with thallium isotope. It is the ideal non-invasive way to evaluate ischemia / to assess the PHYSIOLOGY (function) – to see whether the blood arriving at the heart muscle.
If there is a suggestion, the next step is to see the ANATOMY (structure) – undergo catheterisation and coronary
angiography with a view for possible intervention. It is the only way to directly ‘see’ the block, if any – and its location, extent, severity and so on. Coronary arteriography is invasive but it is the gold standard for this.
CT angio is non-invasive study for the anatomy. If positive, you will need catheterisation, anyway.
See a Cardiologist..
Take care
Wishing all well
God bless
Good luck