患者的病史,體檢及診斷測試都能幫助診斷心臟病發作.
常見的診斷方法包括:
1. 心電圖 (ECG):測量心臟的電活動,
血檢可測量心肌受損時釋放到血液中的某些酶和蛋白質含量.
常見的血液檢查是肌素和肌酸激酶 (CK-MB) 檢查.
這項檢查可幫助醫生評估心臟功能, 並找出任何受損區域.
冠狀動脈造影:這種檢查包括在冠狀動脈內注射染料,
提供詳細心臟與血管影像, 幫助醫生辨認任何損傷或阻塞.
壓力測試:這項測試包括在跑步機或固定式單車上運動,
這項檢查有助於辨認心臟功能是否異常.
導管是指將導管插入手臂或腿部血管,
該組織在一份報告中指出,
醫生會根據病人的症狀及病史, 診斷出心臟病發作並決定最佳治療方案.
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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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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