Difficult diagnosis. Acute myocardial infarction or myopericarditis?


What can influence the result?

The test results are influenced by the time of diagnosis, which has passed since the onset of the disease. Also, changes depend on the extent of the necrosis zone and the localization of the process. Many laboratory indicators that are observed during a heart attack may accompany other pathological conditions. For example, transaminases increase with diseases of internal organs, liver dysfunction, hepatitis of various etiologies, and with alcohol consumption. Troponin increases during inflammatory processes in the myocardium. Creatine kinase and myoglobin can fluctuate when the structure of muscle tissue is disrupted, rhabdomyolysis, various inflammatory processes, and myositis. Many of these indicators remain elevated after surgery, which should be taken into account when collecting anamnesis from the patient.

If possible, it is advisable to take the test on an empty stomach; before donating blood from a vein, you should rest a little. It is good if you can eliminate the use of alcohol, nicotine and physical activity before the study. You need to tell your doctor what medications you took, as they may also affect your test results.

Timely diagnosis of a heart attack allows timely treatment to begin. In the case of a heart attack, this is especially important, since time is sometimes counted by the clock. Effective therapy or surgery can prolong a patient's life, improve its quality and reduce the risk of complications. It is necessary to trust your health to trusted medical institutions, where there are conditions for accurate diagnosis in a short time.

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