What can the troponin test of 1 hour do?
Myocardial infarction continues to be the leading cause of death in Germany. About 49,000 people die every year in this country. 220,000 patients are treated every year at German hospitals because of a heart attack. In addition, there is a large number of cases not reported, because not all patients with heart attack know they have a heart attack. On the other hand, other patients mistakenly think they have a heart attack without this being the case. Symptoms are not always clear. A new quick test is now ensuring faster and more secure 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 Troponin 1-hour test to diagnose a heart attack in 1,500 patients, High risk The test is detected within an hour if a heart attack is present or not. This is crucial for the subsequent treatment of those affected.
A heart attack can have many faces
As the heart heart experts of the German Heart Foundation report that a heart attack can manifest in different ways. Many patients complain of crematoria and oppressive pain associated with a feeling of sealing. Others describe their symptoms as radiant pain that goes from the sternum to the arms, shoulder blades, neck, jaw and upper abdomen. In addition, concomitant symptoms such as excess sweating, nausea and breath may occur. Some patients also show less obvious signs.
Many symptoms associated with a heart attack can also indicate other illnesses. "The faster and more reliable the existing illness can be diagnosed, the faster the appropriate therapy and the more healing possibilities for the patients can take place," explains the head doctor Dr. Professor. med. med. Willibald Hochholzer in a press release about the new method of diagnosis. So far, doctors have mainly used an electrocardiogram to analyze heart currents. However, this is not the key criterion to support the diagnosis of a heart attack.
A protein complex indicates heart damage
Heart specialists tell you that a reliable diagnosis can only be made with the so-called troponin. It is a protein complex that helps contract the cells of the heart muscle, ensuring that the heart plays the role of blood pump. If these muscle cells receive too little oxygen as a result of an infarct, troponin releases into the blood. According to the German Heart Foundation, this also happens in other diseases where the heart is damaged, such as pulmonary embolism, septic shock or certain cardiac arrhythmias. "These patients, due to a relative lack of oxygen, also experience an infarction type" without vascular occlusion, a myocardial infarction type 2, "Professor Hochholzer explains.
Every infarct requires proper treatment
After the underlying cause decides the correct treatment. When talking about a heart attack, myocardial infarction type 1 is mainly understood. Normally, this should be treated as soon as possible by immediately opening the coronary artery affected by a balloon and implanting a stent. "The test works perfectly to exclude a heart attack, even in high-risk patients," the professor summarizes the results of the tests.
How does troponin test work for 1 hour?
The test measures the presence of troponin in the blood. The called Troponin Diagnostic Diagnostic Algorithm of 1 hour recognizes within one hour whether or not there is a heart attack. The new test is recommended in the current guidelines of the European Society of Cardiology (CES) for patients with a suspected heart attack. Currently, the test should be improved in such a way that it can also differentiate a myocardial infarction type I from a type 2 myocardial infarction (Vb)