My husband has been on a low carb diet since June. About a month ago he started waking up feeling warm. He wasn’t sweating and didn’t feel warm to me. He will also feel pressure in his chest. He is currently in the ER for chest pain. All his stats are normal but his troponin levels keep going up. They think he might of had a heart attack. Anyone have any insight?
Troponine levels
PaulL
(You've tried everything else; why not try bacon?)
#3
From Allie’s link, it would appear that your husband has had a heart attack. I hope he recovers quickly.
It also sounds that he embarked on a low-carbohydrate, high-fat diet just in time. The production of ketones will feed his heart muscle, with the benefit that ketones take much less oxygen to metabolise than fatty acids do, and they do far less damage to the muscle cells than glucose does.
lfod14
#4
Did he ever have any previous heart issues or reasons to push him further towards that risk? I doubt it’s related to eating keto, only thing I could assume if it w as (indirectly) was not keeping his electrolytes in check and potassium getting to low, which can technically do it. Many times people will have their electrolytes checked, which no doubt they did. But those levels are all across the map all day long, so not always proof that they’re good as a whole. Kind of like checking a diabetics glucose readings when they haven’t eaten any sugars.
Either way hopefully everything’s OK and he recovers quick enough! Hopefully they find a cause, nothing worse than not knowing.
Katnipp
#5
His levels are going up like crazy and they can’t figure out why cause everything looks good. When we came in his level was .40. An hour later it was 150. Just came back now at 415. His blood pressure, heart rate, and oxygen are all great. He feels perfectly fine.
PaulL
(You've tried everything else; why not try bacon?)
#6
All the best to him, then, and I hope they can figure out what’s going on.
Fangs
#7
varied in why but it to me heart related and he absolutely will get the care he requires once they pinpoint more on his personal health at the hospital! Sending prayers and only good vibes for forward movement.
this is just not diet related at all now, this is real deal medical issues to be addressed.
when I googled ‘why on trop. to be elevated’ almost ALL came back physical body. in possible Sepsis to the body can do it, any and all prescip medicines he is on, severe burns to the physical body and kidney disease and way more…so to me this is true medical and I WOULD GO ALL IN medical to correct his issue.
again best vibes coming for him and your family! It isn’t to me the diet change, this is real life medical to me and get ALL the help forward you guys can to make him recover in good form 
Katnipp
#8
Yeah it’s just so weird. Two months ago his LDL was 164. They took it this morning and it was 124. His blood pressure is 109/74. He must have developed severe sleep apnea cause it seems to be happening almost every night between 4-5am. They did an ekg while it was happening around 5 am and it was freaking normal. At least the LDL dropped way down. Not even two weeks ago his doctor was giving him ■■■■ that he was gonna have a heart attack.
Katnipp
#11
Fluid around his heart. He’ll have to take diuretics. And of course the cardiologist is trying to push the statins.
Fangs
#12
ahhh, yea too much fluid falls into that ‘congestive heart failure’ category which is ‘just so varied’ and wild between people and how to treat and more but one thing they throw is the meds at this one but there can be many factors involved.
from the net: Lasix (furosemide) is a loop diuretic (water pill) that prevents your body from absorbing too much salt. This allows the salt to instead be passed in your urine. Lasix is used to treat fluid retention ( edema) in people with congestive heart failure, liver disease, or a kidney disorder such as nephrotic syndrome.
Key being there is NO WHY right now on why he is retaining this fluid and I can only send BIG HUGS to work it thru for him and hope all comes out ok in the end and he finds his center to work best for himself!!!
Katnipp
#13
This is why I’m confused. I looked into all the tests to determine it as well as the symptoms. He has none of the symptoms besides sometimes feeling pressure on his chest when he lies down. Not to mention every test is fine. His BNP which determines it and the severity of it was 15. The normal range is 0-100. They are like gotta stay away from salt because it effects BP and causes you to retain fluid. His blood pressure averages 110/74. He’s been keto since May. Pretty much lives off Wendy’s burger patties and chick-fil-a grilled nuggets since he’s pretty much on the road all day (sales rep). He shows no sign of fluid retention. His CBC yesterday was perfect. This morning it was all over the place. Everything was either way too high or way too low. Hoping it’s just whatever they are giving him. He was diagnosed with sleep apnea and got a CPAP machine. This all started a few days later. Then he found even when he didn’t use it the “attacks” were happening. Not sure if he got a defective one since they had him use one the hospital gave him and he had no problems. I found a cardiologist that is an advocate of the keto diet in DC. Hopefully he is taking new patients.
Fangs
#14
that is great. a keto cardiologist is a wonderful way forward.
key being burgers from fast food are like ‘super jacked’ in sodium. very high so that is definite truths on that food as well is those nuggets. NOW BEING on the road MANY do find they must eat cleaner than fast food and will do that but damn if it aint hard work to do just that!!! but key being here ONE must think do for you you for food intake.
that I know is massively hard vs. job and what it entails but with 0 health there is no life ya know…so that big mental game of how do I change me to help me and keep work ‘in line’ as to come into play and again, that is a massive change MANY of us HAD or are FORCED to make so he needs to think hard on this one!!! Quality of life ya know. Life means health so? the big whammy when we all get to that point.
For me with ‘fluid’ and what ifs up and down’ are alot of stress and our bodies ‘showing us we are in big flux’ against the medical results which are seeming more negative than good.
Life is showing life patterns must change to get the better now and that is truly an OK thing even if we ain’t ready to see it, we are SHOWN it by our bodies and again, it is ok to change at all times as we need to live our best lives if we want just that.
Re-think life time ya know. AND NOT a darn one of us wanna go there but we all get ‘dragged here’ but I also ‘feel he is very correctable’ in a way at this point ya know IF ONE goes in that right direction truly and ‘takes life on new terms’ as it needs to be for them.
my personal thoughts are truly get the ducks in a row, get the job changed up a bit thru eating to make it ALL about him and health and start thinking more ‘what is life and what is it all about’ kinda thoughts, IN THAT without the health we have squat.
I only SAY this cause we were there also. My hubby was there and we did massive changes to life on his job and more to correct back and it worked for him. Something rings to me about your guys issues. Like ‘do me now’ cause without the health there is 0 so??
and it IS OK to do this LOL my hubby was like WTH? and I am like…face some damn real facts here bud and thru a long time of chat and what ifs and more ‘we got there’ for big changes…and it wasn’t easy in any way, but the changes I directed for him and helped him thru truly changed his health to the better so?
now this might not be you guys at this point truly but there is the game of life. Always play that game to suit your health and dump and change the rest cause no amt of $$ changes our quality of life truly in our health unless we are #1 participant in that change.
OK THIS IS just chat on it all 
just ways to see futures that we can change and bob and weave to make it all work for us than against us ya know. Just chat to help work thru some what ifs if that suits you guys at this time.
but one thing is no one or nature or universe or whatever will ever take ‘care’ of you…one must go all in and wanna change to have that happen ya know Sending hugs thru it all.
PaulL
(You've tried everything else; why not try bacon?)
#17
This is true only for a small minority of people. And studies have shown that the effects on blood pressure of reducing salt are minimal. A couple of prospective urban and rural studies have also shown that the people whose salt intake is in the range of 10-15 g daily (which is 4-6 g of sodium) are in the best health. This is true of salt-sensitive hypertensives, as well as everyone else. But for salt-sensitive hypertensives, the risk of consuming excess salt above the “sweet spot” rises quite steeply, whereas for everyone else, it rises more gradually. For everyone, the risk of ill health from not getting enough salt rises steeply, as salt intake declines.
ctviggen
(Bob M)
#18
For most people, it’s raised insulin = higher BP. I can say that I can, and do, physically eat salt by itself, with no penalty for BP. Here’s about 10.5 years of systolic blood pressure data:
The Started LC, started IF, and Increased Salt are no longer in the correct place (their place does not move, but I’ve added way more data since I put them there…as in years of data).
The lowest part was when I was fasting a ton…which just happens to lower insulin levels.
Edit: and the “IF” in the chart was actually a lot of >24 hour fasts, including many 36 hour, 3.5 day, and 4.5-5.5 day fasts.
Katnipp
#19
So they did a CT of the heart and noticed some slight thickening of the walls which is keeping his heart from relaxing completely. But other than that everything looks really good and they’re letting him go today. Turns out his CBC was all over the place due to the steroids they’ve been giving him cause he had an allergic reaction to the IV contrast. My concern now is if he has to stay on the diuretics and the electrolyte imbalance they would cause
ctviggen
(Bob M)
#20
Well, if he keeps keto, that should help him. Ketones are very good for the heart.