How is Heart attack diagnosed?

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心脏病发作是怎么诊断的?

心脏病发作是通过患者病史,体检和诊断测试的组合来诊断的.

最常见的诊断测试用于诊断心脏病发作包括:

1. 心电图 (ECG):这种测试测量心脏的电活动,并可以检测可能表明心脏病发作的异常.

2. 血液检查: 血液检查可以测量心肌受损时释放到血液中的某些酶和蛋白质的水平.

为了诊断心脏病发作,最常用的血液测试是素和肌酸激酶 (CK-MB) 测试.

3. 听力心脏图:这种测试使用声波来创建心脏的移动图像,这可以帮助医生评估心脏的功能,并确定任何损伤区域.

4. 冠状动脉造影:这项测试包括将染料注入冠状动脉,并进行X射线成像,以确定动脉的任何堵塞或狭窄 ⁇

5. 心脏CT或MRI:这些成像测试可以提供心脏及其血管的详细图像,这可以帮助医生识别任何损伤或堵塞.

6. 压力测试:这项测试包括在跑步机或固定自行车上锻炼,同时监测心脏如何应对压力.

它可以帮助识别心脏功能的任何异常.

7. 心脏导管:这种侵入性测试包括将导管插入手臂或腿的血管中,并将其引导到心脏.

然后将染料注入冠状动脉以识别任何堵塞或狭窄.

这些测试以及患者的症状和病史可以帮助医生诊断心脏病发作并确定最佳的治疗方案.

参考资料

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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提供的信息不应用于诊断或治疗健康问题或疾病, 寻求个人医疗建议的人应咨询有执照的医生.

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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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