Vnitr Lek 1993, 39(2):160-165

[The optimal diagnostic approach in myocardial infarct].

P Widimský, P Gregor, J Dvorák, T Sládková, M Herold, R Jirmár, S Hrdlicka
II. interní klinika 3. LF UK Praha.

In the submitted review the authors discuss rational criteria for the diagnosis of myocardial infarction, indications for thrombolysis, coronarography and possibly PTCA, the method of indirect (non-invasive) assessment of an occluded coronary artery and the most frequent mistakes in the diagnosis of infarction. Essential examinations in the acute stage of myocardial infarction are: case-history, ECG, CK-MB (possibly echocardiography). For indication of thrombolysis of acute PTCA case-history and ECG (or echocardiography) are sufficient. Indications of early coronarography before discharge from hospital: postinfarction angina pectoris, malignant arrhythmia (except on the first day), haemodynamic instability, evidence of myocardial ischaemia (restricted symptoms) during a maximal load before discharge.

Keywords: Humans; Myocardial Infarction, diagnosis,

Published: February 1, 1993  Show citation

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Widimský P, Gregor P, Dvorák J, Sládková T, Herold M, Jirmár R, Hrdlicka S. [The optimal diagnostic approach in myocardial infarct]. Vnitr Lek. 1993;39(2):160-165.
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