How is Heart attack diagnosed?

['Thikĩrĩria karatathi gaka']

Mũndũ amenyaga atĩa atĩ arĩ na mũrimũ wa ngoro?

Mũrimũ wa ngoro ũtangĩthimwo na njĩra ya gũthuthuria mũndũ ũtambĩte kũrũara, gũthimwo mwĩrĩ, na gũthimwo maũndũ mangĩ.

Njĩra iria ciagĩrĩire kũhũthĩrwo gũthima mũndũ mũrimũ wa ngoro nĩ:

1. Electrocardiogram (ECG): Ũthuthuria ũyũ ũthimaga ũrĩa ngoro ĩrutaga wĩra na no wone maũndũ mangĩonania mũrimũ wa ngoro.

2. Thakame gũthimwo: Thakame gũthimwo no gũthime ũrĩa tũcunjĩ tũmwe twa proteini na twa enzyme tũingĩraga thakame-inĩ rĩrĩa ngoro yathũka.

Thakame ĩrĩa ĩhũthagĩrũo mũno gũthima mũrimũ wa ngoro nĩ ĩrĩa ĩthimaga troponin na creatine kinase (CK-MB).

3. Echocardiogram: Ũthuthuria ũyũ ũhũthagĩra mĩhũmũ ya mũgambo kũhũũra mbica ya ngoro ĩgĩthama, na ũndũ ũcio no ũteithie mandagĩtarĩ gũthima ũrĩa ngoro ĩraruta wĩra na kũmenya kũrĩa ĩrĩ na thĩna.

4. Coronary angiography: Ũthuthuria ũyũ ũhũthagĩra gũikia rangi thakame-inĩ cia ngoro na gũcũthĩrĩria mbica cia X-ray nĩguo ũmenye kana nĩ kũrĩ kĩndũ kĩhingĩte kana kĩnyihĩte.

5. CT kana MRI ya ngoro: Ũthuthuria ũcio no ũhote kuonania mbica njega ya ngoro na ya mĩkiha yayo ya thakame, ĩrĩa ĩngĩteithia mandagĩtarĩ mamenye kana nĩ ĩrĩ na thĩna kana ĩhingĩte.

6. Ũthuthuria wa kũhatĩkwo: Ũthuthuria ũyũ ũhutĩtie kũhũthĩra macini kana mũithikiri ũgĩikara thĩ o ũkĩroraga ũrĩa ngoro ĩrahiũrania na kũhatĩkwo.

Ũndũ ũcio no ũteithie kũmenya mũrimũ o wothe wa ngoro.

7. Kũhũthĩra kĩndũ gĩtoĩkaine wega ta catheter gũthondeka ngoro: Njĩra ĩno ya gũthima ĩhutĩtie gwĩkĩra kĩndũ gĩtoĩkaine wega ta catheter thĩinĩ wa mũkiha wa thakame wa guoko kana wa kũgũrũ na gũgĩtwara nginya ngoro.

Thutha ũcio, thakame ĩgathecerũo mĩkiha-inĩ ya ngoro nĩguo kũmenyeke kana nĩ ĩrĩ mĩhũmũ.

Ũthuthuria ũcio hamwe na maũndũ marĩa maronania mũrimũ wa mũndũ na ũrĩa ũrathiĩ no ũteithie ndagĩtarĩ kũmenya kana mũndũ arĩ na mũrimũ wa ngoro na amenye njĩra ĩrĩa njega ya kũmũrigita.

['Ũhoro wa kwambĩrĩria']

PubMed/Medline https://www.nlm.nih.gov/databases/download/pubmed_medline.html

RefinedWeb https://arxiv.org/abs/2306.01116

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.

['Ũkaana: thibitarĩ']

['Website ĩno ĩkoragwo ĩrĩ ya kũrutana na kũheana ũhoro tu na ti ya kũheana ũtaaro wa ũrigitani kana ũtungata wa kĩĩmwĩrĩ.']

['Ũhoro ũrĩa ũrĩ thĩinĩ wa broshua ĩyo ndwagĩrĩirũo kũhũthĩrũo gũthima kana kũrigita mũrimũ mũna, na arĩa marenda ũtaaro wa ũrigitani magĩrĩirũo gũcaria ũteithio wa ndagĩtarĩ.']

['No wone atĩ netiwaki ya neuron ĩrĩa ĩheanaga macokio ma ciũria icio, ndĩkoragwo na ũkinyanĩru mũno ũhoro-inĩ wĩgiĩ namba. Kwa ngerekano, mũigana wa andũ arĩa magwatĩtio mũrimũ mũna.']

['Hingo ciothe caria ũtaaro wa ndagĩtarĩ kana mũndũ ũngĩ wagĩrĩire ũgima-inĩ waku wa mwĩrĩ igũrũ rĩgiĩ mũrimũ. Ndũkaanahũthie ũtaaro wa ndagĩtarĩ kana ũcererũo kũũcaria nĩ ũndũ wa ũndũ ũthomete thĩinĩ wa website ĩno. Ũngĩkorũo ũrona ta wacemania na ũndũ mũhiũ, hũra thimũ 911 kana ũthiĩ thibitarĩ ya hakuhĩ na harĩa ũrĩ. Gũtirĩ ũrata wa ndagĩtarĩ na mũrwaru wonekaga nĩ ũndũ wa website ĩno kana kũhũthĩrũo kwayo. BioMedLib kana aruti ayo a wĩra, kana mũndũ ũngĩ wothe ũrutĩte wĩra thĩinĩ wa website ĩno, ndarĩ na ũira, wa ĩmwe kwa ĩmwe kana wa ĩmwe kwa ĩmwe, wĩgiĩ ũhoro ũrĩa ũheanĩtwo ho kana ũrĩa ũhũthĩrĩtwo.']

['Ũregani: wĩyathi wa kwandĩka']

['Watho wa Digital Millennium Copyright Act wa 1998, 17 U.S.C. § 512 (the DMCA) ũheanaga ũhoti wa ene a ihoto cia wandĩki arĩa metĩkĩtie atĩ ũhoro ũrĩa ũroneka intanetiinĩ nĩ ũtharĩtie ihooto ciao kũringana na watho wa U.S. wa ihoto cia wandĩki.']

['Ũngĩkorũo na wĩtĩkio atĩ ũhoro kana kĩndũ kĩna gĩtahingũrĩtwo ũhoro-inĩ wĩgiĩ website kana ũtungata witũ nĩ gĩgũthũkia ihooto ciaku, wee (kana mũndũ ũrĩa ũgũgũthondekera) no ũtũtũmĩre notithi ũkĩũria ũhoro kana kĩndũ kĩu kĩeherio, kana ũrigĩrĩrio ndũgacihũthĩre.']

["Marũa macio magĩrĩire gũtũmwo na njĩra ya kwandĩkwo na e-mail (rora ũhoro wa andirethi gĩcunjĩinĩ kĩa 'Maũndũ ma kwaranĩria')."]

['DMCA ĩbataraga atĩ notithi yaku ya kuuna ihooto cia wandĩki ĩkorwo na ũhoro ũyũ: (1) ũtaarĩria wa wĩra ũrĩa ũrĩ na ihooto cia wandĩki ũrĩa ũrarumwo; (2) ũtaarĩria wa ũhoro ũrĩa ũrarumwo na ũhoro mũiganu wa gũtũhotithia kũmenya kũrĩa ũhoro ũcio ũrĩ; (3) ũhoro waku wa kwaranĩria, hamwe na andirethi, namba ya thimũ na andirethi ya e-mail; (4) ndũmĩrĩri yaku atĩ wĩ na wĩtĩkio mwega atĩ ũhoro ũcio ũramenererio ndũrĩ na rũtha rwa mwene wa watho, kana mũrũgamĩrĩri, kana rwa watho o wothe; ']

['(5) nĩ mwandĩkanĩire, na nĩ mũkũheo mũkaana wa kũheenania, atĩ ũhoro ũrĩa ũrĩ kĩmenyithiainĩ kĩu nĩ wa ma na atĩ mũrĩ na ũhoti wa kũhingia ihooto iria mũreganĩte nacio;']

['na (6) kĩrore kĩa mwene kĩhoto kana kĩa mũndũ wĩtĩkĩritio gwĩtongoria handũ ha mwene kĩhoto.']

['Kwaga kwandĩka ũhoro ũcio wothe no gũtũme gũtangĩka gwaku kũhĩtũke.']

['Ũhoro wa Kwaranĩria']

['Tũma ndũmĩrĩri ya kũbucia kũgerera thimũ kana thimũ ya mohoro.']

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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