How is Heart attack diagnosed?

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Coma se diagnostica l'atac cardiac?

Un ataca cardiac es diagnosticat mejans una combinason de l'istòria medicala del pacient, l'examèn fisic, e los tèsts de diagnostic.

Los tèsts mai comuns utilizats per diagnosticar una ataca cardiaca son:

1. Electrocardiograma (ECG): Aquel examen mesura l'activitat electrica del còr e pòt detectar las anomalias que pòdon indicar una ataca cardiaca.

2. analisi de sang: Los analisi de sang pòdon mesurar los nivèls de cèrtas enzims e proteïnas que son liberadas dins la sang quand lo muscle cardiac es damatjat.

Los tèsts sanguins mai utilizats per diagnosticar un ataca cardiaca son los tèsts de troponina e creatina quinasa (CK-MB).

3. Ecocardiograma: Aquel tèst utiliza d'ondas sonoras per crear un imatge del còr en movement, çò que pòt ajudar los mètges a evaluar lo foncionament del còr e identificar las zonas de damatge.

4. Angiografia coronària: Aquel tèst consistís a injectar un colorant dins las artèrias coronàrias e a prene d'imatges de rais X per identificar los blocatges o estrechament de las artèrias.

5. TC o RMN cardiaca: Aqueles examèns permeton de prene d'imatges detalhadas del còr e dels vasos sanguins, çò que pòt ajudar los mètges a identificar los damatges o obstruccions.

6. Tèst d'estrès: Aquel tèst consistís a realizar d'exercicis sus un camin de tambornet o bicicleta estacionària alara que lo còr es susvelhat per veire cossí respond a l'estrès.

Pòt ajudar a identificar tota anormalitat dins la foncion del còr.

7. Cateterisme cardiac: Aquel tèst invasiu consistís a inserir un catètre dins un vas sanguin del braç o de la camba e lo guidar cap al còr.

Un colorant es enseguida injectat dins las artèrias coronàrias per identificar los blocatges o estrechaments.

Una combinason d'aqueles tèsts, amb los simptòmas e istòria medica del pacient, pòt ajudar los mètges a diagnosticar una ataca cardiaca e determinar lo melhor tractament.

['Referéncias']

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.

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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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