Transcription of Laboratory Diagnosis of Acute Myocardial Infarction
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Laboratory Diagnosis of Acute Myocardial Infarction
Trakia Journal of Sciences, Vol. 3, No. 1, 2005 8 Trakia Journal of Sciences, Vol. 3, No. 1, pp 8-14, 2005 Copyright 2005 Trakia University Available online at: ISSN 1312-1723 Mini-review Laboratory Diagnosis OF Acute Myocardial Infarction A. Ruseva* Central Clinical Laboratory , University Hospital, Pleven, Bulgaria ABSTRACT The early recognition of cardiac ischemia and accurate placement of the patient in the risk spectrum of the Acute coronary syndrome are critical to the effective management of patients with Acute Myocardial Infarction (AMI). Apart from clinical history, physical examination and accurate ECG interpretations, cardiac biomarkers are equally valuable in the initial evaluation of patients with non-traumatic chest pain. Previously the Diagnosis of an AMI was based on World Health Organisation (WHO) criteria which defined MI as the presence of two out of three characteristics comprising: symptoms of Acute ischemia (chest pain), development of Q waves in ECG and elevated activities of traditional serum enzymes comprising: total CK, CK-MB, ASAT and LDH.
of the acute coronary syndrome are critical to the effective management of patients with acute myocardial infarction (AMI). Apart from clinical history, physical examination and accurate ECG interpretations, cardiac biomarkers are equally valuable in the initial evaluation of patients with non-traumatic chest pain.
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