Through the myocardial markers products, how to judge the myocardial infarction process

Die in myocardial diseases crowd is more and more, have been able to row of the top 10 on the deadly disease easily before five, actually in the early onset by myocardial markers product diagnosis, treatment for patients to set aside enough time, unlike traditional medical equipment diagnosis need to spend a lot of time, delay the best treatment time. The most common in Europe and the myocardial infarction, in the United States each year about 1.5 million people taking place myocardial infarction. China in the world are not low hair area, but in recent years has a rising trend. So we'll see myocardial infarction diagnostic criteria.

    Generally consistent with the following myocardial infarction of the diagnosis standard article 2 can be a confirmed diagnosis for typical myocardial infarction

    1）Typical of the chest pain appear, sudden onset, pain lasted for a long time, is located in retrosternal or the area before the heart, but left neck, his left arm radiation, pain is squeezing sex, often accompany philibert said. This is the diagnosis of myocardial infarction in the standard comparison of the typical.

    2）In the diagnosis of myocardial infarction in the standards of the evolution of the typical electrocardiogram is:
Have disease (the acute phase) facing the united the abnormal infarction Q wave and ST segment obvious drive up, the latter outlining the up and a one-way wave T connected curve, R wave to reduce or disappear; Back to the guide that have united infarction increased R wave and ST segment down. In a few days to 2 weeks after onset around (middle stage), facing the united ST segment of the infarction gradually returned to the baseline, and T wave into a flat or significant the cart before the horse; The league is the back infarction increased T wave. After several weeks to months of T wave can show V the cart before the horse, its legs symmetric troughs abnormal sharp, Q wave later often permanent existence, and T wave may be months to several years to recover.

    3）Serum enzymology change, including enzyme concentration changes of serum sequence or beginning to rise and then reduce, the typical myocardial infarction of the evolutionary process. Serum creatine phosphokinase (CK or CPK) come on six hours appear, 24 hours of peak, 48 to 72 hours after disappear, were 92.7%.

    All above is the myocardial infarction diagnostic criteria, but as the need to pay attention to is the typical myocardial infarction diagnosis is more difficult, should be in time for the electrocardiogram (ecg) and serum enzymology check, and check must meticulous, history inquiry is very important.
 

                                                                           Article : From Perlong medical (http://www.pl999.net/)