Top
Browse > KardioNet / Dijagnoza i testovi kod srčanog udara / Laboratorijski testovi kod akutnog infarkta miokarda

Laboratorijski testovi kod akutnog infarkta miokarda

March 20, 2009

Infarkt miokarda testoviPrilikom dolaska pacijenta za koga sumnjamo da se radi o akutnom infarktu miokarda u koronarnu jedinicu, pacijenta očekuje lekar sa svojim timom i odmah procenjuje njegovo stanje zdravlja.

U prvom redu se daju lekovi (sve u injekcijama) protiv bola, na primjer morfijum ili njemu slični. Istovremeno se pazi na eventualni poremećaj ritma i u tom smislu interveniše. Ovo je moguće pratiti jer se pacijent odmah priključuje na monitor na kome se gleda njegov elektrokardiogram EKG. Istovremeno se mjeri krvni pritisak i posluša rad srca i pluća.

Potom se lekar odluči da li će primeniti fibrinolitik (lek za “otapanje” ugruška), antikoagulans (lek protiv zgrušavanja krvi) ili lek koji je primeren godinama, težini bolesti, istovremenim drugim bolestima i sl.

Ovaj redosled se menja ako je pacijent u kardiogenom šoku, totalnom bloku ili u kliničkoj smrti, bilo zbog treperenja komora (komorna fibrilacija) ili zbog srčanog zastoja (asistolija). Tada se odmah započinje sa reanimacijom bolesnika.

Dolaskom u Koronarnu jedinicu, pacijentu se odmah uzima krv na analizu. U ove testove spada:

  1. Šećer u krvi (vrednosti mu rastu u akutnom infarktu)
  2. Leukociti (vrednosti im rastu u akutnom infarktu).
  3. Sedimentacija eritrocita (vrednost je uredna u akutnom infarktu, ali ista raste posle 6-7 dana).
  4. Enzimi (nekoliko vrsta), – vrednosti im rastu u akutnom infarktu ali ne svima u istom vremenskom periodu.

Ovi testovi predstavljaju tzv. “biološke znake” akutnog infarkta miokarda.

Enzimi

To su tvari koje se nalaze u svim ćelijama našega tela, pa tako i u čelijama srčanog mišića. Oni potpomažu ćelijski metabolizam (ćelijsku preradu hrane) čime je omogućen rast i život ćelije.

Postoji više vrsta enzima. Ako mišićne ćelije srca ne dobiju kiseonik sa krvlju zbog začepljenja krvnog suda (infarkt), one umiru, raspadaju se i to zovemo nekrozom. U takvim uslovima, enzimi, zajedno sa ostalim sastojcima mrtvih ćelija, izlaze izvan ćelija u okolni međućelijski prostor i bivaju upijeni u najbliže zdrave krvne sudove te se putem krvi raznose po celom telu.

Pregledom krvi, moguće je tačno utvrditi koji enzimi su povećani i u kojoj količini. Što je infarkt veći, to su i vrednosti enzima u krvi veće. Različiti enzimi dostižu svoju najveću količinu u krvi u različitim vremenskim razmacima od početka infarkta. Zavisno od količine pojedinih enzima u krvi, moguće je proceniti i vrijeme nastanka infarkta (sati ili dani).

Autor KardioNet · u Dijagnoza i testovi kod srčanog udara 
O autoru: KardioNet je prvi domaći Internet portal - servis koji pružaocima zdravstvenih usluga u domenu kardiologije, naučno-istraživačkim organizacijama, lekarima, predstavnicima farmaceutske i industrije medicinske opreme, države i fondova osiguranja, kao i pacijentima i zdravoj populaciji, omogućava pristup traženim medicinskim informacijama u bilo kom momentu, sa bilo kog mesta.

Komentari

65 odgovora na “Laboratorijski testovi kod akutnog infarkta miokarda”

  1. deirmwf dana May 11th, 2010 11:51 pm

    nffPjF gjfyvvczbjhe, [url=http://tqfakkmgsqjk.com/]tqfakkmgsqjk[/url], [link=http://aumewdxdyqnd.com/]aumewdxdyqnd[/link], http://sitqbrapxktd.com/
  2. jianghzh dana May 15th, 2010 2:31 am

    accutane 8266 cheapest phentermine 88352 cialis 5253 cialis =[[ what is xanax jilte phentermine >:-) tramadol yka
  3. SeaPhlak dana May 17th, 2010 8:08 pm

    ambien online 9961 valium 394161 levitra and grapefruit juice vub how to buy propecia mlbye doxycycline 286 aciphex 9259
  4. barbarsenal dana May 18th, 2010 1:01 am

    cialis zche ambien dose sjypfm levitra 7554 prednisone 0490 valium xoouao buy valium holland >:))
  5. lukaspolaco dana May 20th, 2010 2:51 am

    home insurance kyloes cheap life insurance 1428 auto insurance rates 62401 low car insurance %-] reassure america life insurance ifxaop
  6. elygang dana May 22nd, 2010 12:30 am

    xanax bars rnqfbn accutane online 788249 phentermine 18260 valium 305 levitra order 136411 buy propecia usa 3080 acomplia 470427
  7. seven7kitty dana May 24th, 2010 8:22 pm

    life insurance quotes 8( auto insurance quotes 90872 ing life insurance vnrp auto insurance 812974 cheap health insurance bwo health insurance quotes eyyblj buy car insurance online 4131
  8. close2pinoy dana May 25th, 2010 4:55 am

    besked buy hjemmeside navn tramadol =]]] acomplia emotional eating 565 buy propecia 5mg 175 doxycycline >:-OOO levitra ccb
  9. colorintoni dana May 25th, 2010 6:51 am

    propecia 148 online retin a pharmacy %P tramadol wlo phentermine 785 tramadol 837755
  10. daftalo dana May 25th, 2010 11:26 pm

    health insurance 9794 california homeowners insurance cwndk auto insurance 8( cheap home insurance 743470 auto insurance quotes iadf mobile home insurance florida %-DDD
  11. sansuk dana May 26th, 2010 5:07 am

    aciphex 462541 acomplia oiqlcw buy accutane online mrb levitra =OO buy valium england 39896 doxycycline uebdmx
  12. IneedtoknowX dana May 26th, 2010 9:02 am

    accutane fsgq acomplia %]] description of valium diazepam 6288 accutane vhx prescription medication acomplia alstjj
  13. dre2cool dana May 27th, 2010 7:21 pm

    health insurance rates 549194 life insurance cxwhc homeowners insurance quotes 8095 auto insurance quotes :D life insurance rates guv home owners insurance in florida =-[[[
  14. colorintoni dana May 27th, 2010 10:02 pm

    get online prescription for propecia 9217 phentermine 8O accutane generic =( buy accutane 4649 order doxycycline :]]] buy cialis %-[[[
  15. DaoudS dana May 28th, 2010 5:34 am

    generic viagra 1239 buy prednisone on-line 013372 acomplia %OO levitra to buy ewyw doxycycline =-)) buy prednisone on-line 723301
  16. bulletforjoe dana May 28th, 2010 7:16 pm

    life insurance rates dhl american home insurance :-P PP florida health insurance 8( personal health insurance 178408 life insurance rates 050473
  17. svengranholm dana May 29th, 2010 2:34 am

    compare cialis levitra viagra vjr propecia 8-]] ultram kbra cialis %P tramadol =-(( doxycycline price %PPP buy levitra online 80793
  18. Chris87BO dana May 29th, 2010 10:53 pm

    empire health insurance dcvbvr auto insurance quotes fwo home insurance quotes 956006 health insurance quotes 846 fort dearborn life insurance :-D cheap health insurance 11114 homeowners insurance >:-DD
  19. ImYourGeek dana May 30th, 2010 12:31 am

    buy price valium fun cialis levitra vs 490 xanax kxkhf mail order viagra 0261 doxycycline raioa
  20. chrews dana May 30th, 2010 6:52 am

    online prescription for acomplia %-OOO buy propecia at discount price 4557 viagra 321 acomplia type 1 diabetes xlbyyj cialis ljy aciphex 185873
  21. ricjenkens dana May 30th, 2010 10:17 pm

    affordable auto insurance 13338 home insurance in florida >:[ buy auto insurance online 447793 adova health insurance >:[[ affordable car insurance %-] bankers life insurance 5193
  22. postezz dana May 31st, 2010 12:12 am

    propecia 655453 buying accutane pogfvs cialis htxs accutane online 8[[[ phentermine 3726 tramadol online onkx
  23. kaplumboa dana May 31st, 2010 7:32 pm

    home insurance quotes kidqoz health insurance quotes %P cheap life insurance 200376 life insurance rates civsdn mobile home insurance in florida %-(
  24. kittyferjay dana May 31st, 2010 10:51 pm

    buy accutane online %]]] prednisone 69097 prednisone 6254 cialis 50368 buy cialis phv
  25. rickforesight dana June 1st, 2010 3:28 am

    buy propecia in usa 409 prednisone :) ) accutane tunkjh buy acomplia cheap lmr viagra iigaas tramadol nus
  26. camdagoblin dana June 1st, 2010 8:59 pm

    auto insurance quotes lqubv auto insurance quotes 455 life insurance 8289 home insurance online quote utah 9408 trustmark life insurance 8DD home insurance rates 585
  27. GASBOGZY dana June 2nd, 2010 6:18 pm

    propecia 98341 buy valium holland crwwxu accutane purchase 450832 ultram >:PPP accutane 097 pharmacy degree buy tramadol gyvu purchasing tramadol gajih
  28. dierobotsdiee dana June 3rd, 2010 12:34 am

    fort dearborn life insurance 68116 auto insurance rates evtb auto insurance rates uymyxa nevada homeowners insurance quote 69081 ing life insurance 7739 home insurance 416503 louisiana homeowners insurance 212
  29. Garrettsun dana June 3rd, 2010 11:43 am

    propecia gmev phentermine 624437 generic viagra levitra and tadalafil gzo non perscription generic cialis 23811 order doxycycline online lhpdg buy namebrand tramadol 206882
  30. Pharmf218 dana June 8th, 2010 4:52 pm

    Hello! bdecaac interesting bdecaac site!
  31. Pharma682 dana June 8th, 2010 4:52 pm

    Very nice site! cheap viagra
  32. Pharmd276 dana June 8th, 2010 4:52 pm

    Very nice site! [url=http://yieapxo.com/qoqats/2.html]cheap cialis[/url]
  33. Pharmk860 dana June 8th, 2010 4:53 pm

    Very nice site! cheap cialis http://yieapxo.com/qoqats/4.html
  34. Pharme248 dana June 8th, 2010 4:53 pm

    Very nice site!
  35. Pharmd797 dana June 8th, 2010 4:53 pm

    Very nice site! cheap viagra , cheap viagra , cheap viagra , cheap viagra , cheap viagra ,
  36. buy_cialis dana June 15th, 2010 9:06 am

    Hello!
    buy cialis , cialis ,
  37. buy_viagra dana June 17th, 2010 11:13 am

    Hello!
    buy viagra , cheap viagra ,
  38. whizzyg dana June 18th, 2010 8:25 pm

    cialis pmlut meridia cnbt auto insurance 908714 xanax >:((
  39. cialis dana June 18th, 2010 11:45 pm

    Hello!
    cialis , cialis ,
  40. bubblepoo dana June 20th, 2010 3:59 pm

    phentermine :-) )) carisoprodol %)) buy xanax mgnu cheap xanax 289
  41. xphycorx dana June 22nd, 2010 2:21 am

    buy xanax 934818 carisoprodol >:-]] phentermine online :-OO prednisone =D
  42. SugarySalsa dana June 23rd, 2010 3:06 am

    group health insurance :O home insurance =-]] health insurance quotes =((( auto insurance quotes >:-P car insurance quotes :-]]
  43. joebreakdown dana June 25th, 2010 1:58 am

    slots %((( homeowners insurance =-DD car insurance quotes %-[[[ auto insurance rates 59844 insurance homeowner %)))
  44. louis vuitton dana June 26th, 2010 9:35 am

    Hi, I like your blog. This is a cool site and I wanted to post a little note to let you know, great job! Thanks Meme

    [url=http://www.luxurygiftsbags.com]Louis Vuitton[/url]

    vuitton
  45. DAdbqCM dana June 29th, 2010 5:47 pm

    gNgols
  46. viagra dana June 30th, 2010 3:59 pm

    ojqnij http://okeaji.com/ OuZxSW [url=http://cnpnsw.com/]OuZxSW[/url]
  47. Buy Phentermine dana July 2nd, 2010 5:38 am

    thtDtoR Buy Phentermine Xsnsal Cialis >:]] Viagra kJOeL Cheap Xanax >:-OOO Ambien online %-[[[ Valium 2321
  48. Buy Viagra dana July 2nd, 2010 8:47 pm

    DRmyPqM Buy Viagra =-] Cialis >:-[
  49. Buy Phentermine dana July 2nd, 2010 11:33 pm

    zgUfDG Buy Phentermine bbEezW Xanax online outDw Cheap Cialis 1025 Viagra xCuguh Ultram hGkTM
  50. Cheap Phentermine dana July 6th, 2010 12:27 am

    pkCLIB Cheap Phentermine 2082 Buy Cialis 8293 Buy Viagra QVHXe Tramadol 8]]]
  51. Buy Valium dana July 6th, 2010 8:42 pm

    qTGcblt Buy Valium >:-[ Cheap Xanax FkqbO Ultram Xsbpl Cheap viagra 7852 Cheap Cialis GBluf Ambien online 5850 Cheap Phentermine 5947
  52. Buy Viagra online dana July 7th, 2010 9:57 pm

    rPjPvcfT Buy Viagra online %-[[[ Cialis 9130
  53. Buy Cigarettes dana July 8th, 2010 10:39 pm

    HykqJnxX Buy Cigarettes =-] Buy Camel 1484 Kent Silver Neo FpncSC Gauloises cigarettes 2902 buy Pall Mall cigarettes 9543 Fortuna cigarettes 6918
  54. Viagra dana July 9th, 2010 8:25 am

    KLFNZKgt Viagra gNWig Cialis HNztr
  55. Buy Tramadol dana July 12th, 2010 2:02 am

    lCpOwHL Buy Tramadol 8048 Buy Phentermine gkRVVd Xanax YaUUBr
  56. Valium dana July 13th, 2010 6:59 pm

    NEpLypww Valium BxlmPp Cialis BVDbvc Viagra zrLHmt Buy Ambien >:]] Cheap Xanax DvLZUM Phentermine ewKJS
  57. Cialis dana July 15th, 2010 8:33 pm

    NjkyJbS Cialis 7735 Buy Viagra rITDHj Phentermine 5775
  58. louis vuitton handbags dana July 18th, 2010 12:52 pm

    Hello, I enjoy your blog. This is a informative site and I wanted to post a note to let you know, nice job!
    Best wishes,
    Katy

    [url=http://www.luxurygiftsbags.com]www louis vuitton com[/url]
    louis vuitton purse
  59. Viagra dana July 21st, 2010 6:48 pm

    VjKkhl Viagra vmTMNt Phentermine 8713 Buy Cialis 6103
  60. Buy Cialis dana July 23rd, 2010 1:43 am

    YrqYoRR Buy Cialis >:-OOO Cheap viagra 8]]] Xanax 4268
  61. rvitales dana July 23rd, 2010 6:46 am

    adobe acrobat 8.0 for vista jpyt lexapro social 8-]]] property insurance rates mdxc phentermine mg 120 tabs %)) symantec security information manager =PPP
  62. BbFJlK dana July 27th, 2010 2:50 am

    hIHxhjS
  63. OMGlad dana July 28th, 2010 3:14 am

    steroids online credit card 8PP learn poker online :P P cfs private student loan :) ) emc mortgage corporation ajfmiz
  64. Louis Vuitton Wallet dana July 29th, 2010 10:50 am

    Hello, I admire your website. This is a great site and I wanted to post a little note to tell you, nice job!
    Chao,
    Berthes

    [url=http://www.luxurygiftsbags.com]Louisvuitton[/url]
    buy louis vuitton
  65. Viagra dana July 29th, 2010 8:04 pm

    VhJUeot Viagra 4274 Cialis BhTGuo

Imate nešto da kažete?





Bottom