What can a 1-hour troponin test do?
Heart attack is still the leading cause of death in Germany. Approximately 49,000 people die each year in this country. 220,000 patients are treated every year in German hospitals for a heart attack. In addition, there are a large number of unregistered cases, as not all heart attack patients know they have a heart attack. Other patients, on the other hand, mistakenly think they have a heart attack without it. There are not always symptoms. A new quick test is now designed to provide faster and safer heart attack treatment.
With the support of the German Heart Foundation, the German Heart Research Foundation (DSHF) successfully tested a new rapid test method called the 1-hour troponin test to diagnose a heart attack in 1500 high-risk patients. The test reveals whether or not there is a heart attack within one hour. It is very important to continue treating those who have suffered.
A heart attack can have many faces
As a heart rate expert in the German heart foundation report, a heart attack can manifest itself in a variety of ways. Many patients complain of burning and chest tightness associated with tension. Others describe the symptoms as a radiating pain that starts from the chest to arms, shoulder blades, neck, jaw and upper abdomen. In addition, symptoms such as excessive sweating, nausea and shortness of breath may occur. Some patients also have less obvious signs.
Many symptoms associated with a heart attack may also indicate other diseases. "The faster and safer the disease can be diagnosed, the faster the appropriate treatment and the better the chances of curing the patients," explains senior medical professor Dr. med. med. Willibald Hochholzer press release on the new diagnostic method. So far, doctors have mainly used an electrocardiogram for heart rate analysis. However, this is not the main criterion to support the diagnosis of a heart attack.
Protein complex indicates heart damage
Cardiac experts explain that a reliable diagnosis can only be made with so-called troponin. It is a protein complex that helps the heart muscle cells contract, ensuring that the heart plays the role of a blood pump. If these muscle cells get too little oxygen as a result of heart attack, troponin is excreted in the blood. According to the German Heart Foundation, it also occurs in other diseases where the heart is damaged, such as pulmonary embolism, septic shock or some cardiac arrhythmias. "These patients are also exposed to the" infarct "type without vascular occlusion due to relative oxygen deficiency, myocardial infarction type 2," explains Professor Hochholzer.
Every infarction requires proper treatment
After the underlying cause decides the right treatment. Talking about a heart attack, first of all, is a myocardial infarction 1. It should usually be treated as soon as possible by immediately opening the affected coronary artery to the balloon and implanting the stent. "Testing works well to rule out a heart attack, even for high-risk patients," the professor summarizes the test results.
How does a 1-hour troponin test work?
The test measures the presence of troponin in the blood. The so-called 1-hour troponin-diagnosis-algorithm recognizes within one hour whether or not there is actually a heart attack. The new test is recommended in the current European Society of Cardiology (ESC) guidelines for patients with suspected heart attacks. Currently, the test needs to be improved so that it can also differentiate Type I myocardial infarction from type 2 myocardial infarction. (Vb)