How is Heart attack diagnosed?

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Kon ta hasi un diagnóstiko di atake di kurason?

Un atake di kurason ta keda diagnostiká dor di un kombinashon di historia médiko di e pashènt, un eksamen físiko i tèstnan di diagnóstiko.

E tèstnan mas komun pa diagnostiká un atake di kurason ta:

1. Elektrocardiograma (EKG): E ta midi e aktividat eléktriko di kurason i por detektá anomalía ku por indiká un atake di kurason.

2. Análisis di sanger: Análisis di sanger por midi e nivel di sierto enzima i proteina ku ta sali den e sirkulashon di sanger ora e músculo di kurason ta dañá.

E tèstnan di sanger mas komun ku ta wòrdu usá pa diagnostiká un atake di kurason ta e tèstnan di troponina i di creatine kinase (CK-MB).

3. Echocardiograma: E prueba akí ta usa ola di zonido pa saka un imágen di kurason ku ta move, loke por yuda dòkternan evaluá e funshon di kurason i identifiká kualke área ku ta dañá.

4. Angiografia di kurason: E tèst akí ta enserá injektá un koló den e arterianan koronario i saka potrèt ku rayonan X pa identifiká kualke blòki òf restringimentu di e arterianan.

5. CT of MRI di kurason: E tèstnan akí por duna imágennan detayá di kurason i di su wesunan di sanger, ku por yuda dòkternan identifiká kualke daño òf blokeo.

6. Stress test: E test aki ta enserá ehersisio riba un treadmill òf baiskel estacionario miéntras ta monitor e kurason pa wak kon e ta reakshoná riba strès.

E por yuda identifiká kualke anomalia den e funshon di kurason.

7. Kateterisashon di kurason: E tèst invasivo aki ta enserá hinka un kateter den un vas di sanger den brasa òf pia i guia esaki na kurason.

Despues ta injektá un koló den e arterianan koronario pa identifiká kualke blokeo òf restringimentu.

Un kombinashon di e tèstnan akí, huntu ku e síntomanan i historia médiko di e pashènt, por yuda dòkternan diagnostiká un atake di kurason i determiná e mihó tratamentu.

['Referensia']

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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