Yon atak kè dyagnostike atravè yon konbinezon istwa medikal pasyan an, egzamen fizik, ak tès dyagnostik.
Tès dyagnostik ki pi komen yo itilize pou dyagnostike yon atak kè gen ladan:
1. Elektwokadyogram (EKG): Egzamen sa a mezire aktivite elektrik kè a e li ka detekte si gen bagay ki pa nòmal ki ka montre yon moun gen yon atak kè.
2. Egzamen san: Egzamen san ka mezire nivo sèten anzim ak pwoteyin ki lage nan san an lè misk kè a domaje.
Tès san ki pi komen yo itilize pou dyagnostike yon atak kè se tès troponin ak kreyatin kinaz (CK-MB).
3. Ekokardiyogram: Egzamen sa a itilize onn son pou l fè yon imaj kè a k ap deplase, sa ki ka ede doktè yo evalye fonksyònman kè a e pou yo idantifye nenpòt zòn ki domaje.
4. Anjyografi kowonè: Egzamen sa a mande pou yo enjekte yon koloran nan atè kowonè yo epi pou yo fè yon radyografi pou idantifye nenpòt blokaj oswa etwatman nan atè yo.
5. CT oswa MRI kadyak: Egzamen sa yo ki fèt pou montre sa k ap pase nan kè a ak nan veso sangen yo, yo ka bay foto ki detaye sou kè a ak veso sangen yo, e sa ka ede doktè yo idantifye nenpòt domaj oswa blokaj.
6. Tès estrès: Tès sa a enplike fè egzèsis sou yon treadmill oswa bisiklèt estasyonè pandan ke kè a kontwole pou wè kijan li reponn a estrès.
Li ka ede idantifye nenpòt anomali nan fonksyon kè a.
7. Katetè kadyak: Tès sa a envaziv enplike mete yon katetè nan yon veso sangen nan bra oswa janm epi gide li nan kè a.
Apre sa, yo enjekte yon koloran nan atè kowonè yo pou yo ka wè si gen yon bagay ki bloke yo oswa si yo vin pi piti.
Yon konbinezon tès sa yo, ansanm ak sentòm malad la ak istwa medikal li, ka ede doktè yo fè dyagnostik yon atak kè epi detèmine pi bon tretman an.
Narcisse MR, Rowland B, Long CR, Felix H, McElfish PA: Heart Attack and Stroke Symptoms Knowledge of Native Hawaiians and Pacific Islanders in the United States: Findings From the National Health Interview Survey. Health Promot Pract. 2021, 22 (1): 122-131.
Atar D: [How to diagnose a heart attack in 2012?]. Tidsskr Nor Laegeforen. 2012, 132 (3): 265-6.
Kriszbacher I, Bódis J, Boncz I, Koppan A, Koppan M: The time of sunrise and the number of hours with daylight may influence the diurnal rhythm of acute heart attack mortality. Int J Cardiol. 2010, 140 (1): 118-20.
New ultrafast MRI promises faster diagnosis of heart attack and stroke. J Cardiovasc Manag. , 10 (5): 17-9.
Duijts SFA, van der Beek AJ, Bleiker EMA, Smith L, Wardle J: Cancer and heart attack survivors' expectations of employment status: results from the English Longitudinal Study of Ageing. BMC Public Health. 2017, 17 (1): 640.
Kriszbacher I, Csoboth I, Boncz I, Bódis J: [The daily rhythm of heart attack morbidity and mortality may be influenced by the time of sunrise]. Orv Hetil. 2008, 149 (46): 2183-7.
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['Tanpri note ke rezo neural ki jenere repons pou kesyon yo, pa egzat sitou lè li rive pou kontni nimerik. pa egzanp, kantite moun ki te dyagnostike ak yon maladi espesifik.']
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How is heart attack diagnosed?
A heart attack is diagnosed through a combination of the patient's medical history, physical examination, and diagnostic tests.
The most common diagnostic tests used to diagnose a heart attack include:
1. Electrocardiogram (ECG): This test measures the electrical activity of the heart and can detect abnormalities that may indicate a heart attack.
2. Blood tests: Blood tests can measure the levels of certain enzymes and proteins that are released into the bloodstream when the heart muscle is damaged.
The most common blood tests used to diagnose a heart attack are troponin and creatine kinase (CK-MB) tests.
3. Echocardiogram: This test uses sound waves to create a moving image of the heart, which can help doctors assess the function of the heart and identify any areas of damage.
4. Coronary angiography: This test involves injecting a dye into the coronary arteries and taking X-ray images to identify any blockages or narrowing of the arteries.
5. Cardiac CT or MRI: These imaging tests can provide detailed images of the heart and its blood vessels, which can help doctors identify any damage or blockages.
6. Stress test: This test involves exercising on a treadmill or stationary bike while the heart is monitored to see how it responds to stress.
It can help identify any abnormalities in the heart's function.
7. Cardiac catheterization: This invasive test involves inserting a catheter into a blood vessel in the arm or leg and guiding it to the heart.
Dye is then injected into the coronary arteries to identify any blockages or narrowing.
A combination of these tests, along with the patient's symptoms and medical history, can help doctors diagnose a heart attack and determine the best course of treatment.
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