How is Heart attack diagnosed?

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Come se fa a diagnosticar un ataco de core?

Un ataco cardiaco vien diagnosticà co na combinassiòn de storia medica del pasiente, esame fisico e test diagnostici.

I test diagnostici pì comuni usai pa diagnosticar un ataco cardiaco i include:

1. Eletrocardiogramma (ECG):'sto test el misura l'atività ełetrica del cuore e el pol rilevàr anormałità che łe pol indicar un ataco cardiaco.

2. Esami del sangue: I esami del sangue pol misurar i livełi de serti enzimi e proteine che vien rilassai nel sangue quando el muscoło cardiaco xe danificà.

I esami del sangue pì comuni usai pa diagnosticar un ataco cardiaco xe i esami dea troponina e dea creatina chinasi (CK-MB).

3. Ecocardiogramma:'sto test el dopara onde sonore pa crear 'na imagine in movimento del cuore, che ła pol jutar i dotori a valutare el funsionamento del cuore e identificar eventuałi aree danifegae.

4. Angiografia coronaria:'sto test el consiste nel inietar un colorante nełe arterie coronarie e far foto a raggi X pa individuar eventuałi blochi o restringimenti dełe arterie.

5. TC o RM cardiache:'sti esami de imaging i pol dar imagini detajae del cuore e dei so vasi sanguigni, che i pol jutar i dotori a identificar eventuali dani o blochi.

6. Test de stress: Sto test el coinvolge far esercizi su un tapis roulant o su na bici stazionaria mentre el cuore el vien monitorà pa vedar come el risponde al stress.

Pol jutar a identificar eventuałi anomalie neła funsion del cuore.

7. Cateterixasion cardiaca:'sto test invasivo el consiste nel inserir un catetere in un vaso sanguigno nel braso o in teła gamba e guidarlo al cuore.

Un colorante el vien dopo inietà nełe arterie coronarie pa individuar eventuałi blochi o restringimenti.

Na combinassiòn de'sti test, insieme ai sintomi del pasiente e ała storia medica, pol jutar i dotori a diagnosticar un ataco cardiaco e a determinàr el mejo tratamento.

['Riferimenti']

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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