Doctor insights on:
Why Is The Esr Elevated In A Myocardial Infarction
When the blood supply of a tissue is compromised by whatever mechanism, the tissue will stop working and if blood flow is not restored, the tissue will eventually die ("infarct", both verb and noun). The clinical picture that runs with development of an infarct ("heart attack"; ...Read more
Depends: The elevation of ck-mb is in direct proportion to the size of the infarction. The highest i personally have ever seen was about 1000 but that is very unsual. Also, ck-mb will rise as a % of the total circulating ck. Normall ck-mb is less than 1.5% of total ck. After infarction, ck-mb will go to anywhere between 2.5-15% of total ck. ...Read moreSee 1 more doctor answer
Can you explain the physiological basis of elevated serum lactate and lactate dehydrogenase during or post myocardial infarction?
See explanation: Ldh can be released from dying cells or congested cells serum lactate is usually elevated from the person going into some degree of shock (this would usually be from a massive heart attack causing the other organs not to be well perfused with blood due major decline in the hearts pumping strength or function. ...Read more
Unique to person: In many occations not painfull at all. Most common symptom is chest pressure, heavyness, oppresion, shortness of breath not "pain", sometimes indigestion like symptoms. "silent" heart attacks are common in patients with diabetes. Still today about 50% of people die on their first heart attack. In many occations thinking" its not my heart", " its reflux", "indigestion", "my hiatal hernia"anything but. ...Read more
Various: The st segment is a portion of the electrocardiogram. A myocardial infarction can be described as st elevation myocardial infarction or non-st elevation myocardial infarction depending on the appearance of the electrocardiogram. Management of the 2 types of heart attack are somewhat different. ...Read moreSee 1 more doctor answer
Multiple methods: Myocardial infarction (mi) is suspected by symptoms usually including chest pain. The conclusive diagnosis is established based on a combination of specific abnormalities of the electrocardiogram (ekg) and presence of certain heart enzymes that leak into the blood during an mi. The most common enzymes are called ck-mb and troponin. ...Read moreSee 1 more doctor answer
Many: The location is a major factor: left main blockage is most likely to be fatal. Proximal left anterior descending is also often fatal. Patient factors such as on-going tobacco use, uncontrolled hypertension, diabetes, anemia, pre-existing heart or kidney failure and advanced age all raise the risk. ...Read moreSee 1 more doctor answer
Multiple & varied: Chest pain, radiation to the arm, neck, jaw, sense of impending doom, sweating, feeling of weight on chest, tiredness, shortness of breath, feeling faint or dizzy etc. About a quarter of the mis especially in diabetics may have no recognizable symptoms. Sudden death may be the only symptom in some. ...Read more
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