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    A patient was brought to ED with a complaint of chest pain for the last 1 hour. Which test is done to detect myocardial infarction?
    Question

    A patient was brought to ED with a complaint of chest pain for the last 1 hour. Which test is done
    to detect myocardial infarction?

    A.

    Serum electrolyte

    B.

    Check ABG

    C.

    Check CBC

    D.

    Troponin T

    Correct option is D

    · Serum electrolyte: While serum electrolyte tests are important for assessing electrolyte imbalances that may affect heart function, they are not specific for diagnosing myocardial infarction.
    · Check ABG: Arterial blood gas (ABG) analysis measures oxygenation and acid-base status but is not used to detect myocardial infarction.
    · Check CBC: A complete blood count (CBC) provides general information about a patient's health, such as signs of infection or anemia, but it does not diagnose myocardial infarction.
    · Troponin T: Troponin T is a highly sensitive and specific cardiac biomarker used to detect myocardial infarction. Elevated levels indicate cardiac muscle injury, making it the most appropriate test in this scenario.
    Myocardial Infraction - an irreversible damage to the cardiac tissues due to lack of oxygen
    · Troponin T and Troponin I are the proteins present in blood which will be released when the cardiac muscle damages
    · Hence Troponin T is key marker of Myocardial Infraction.
    · Artery blockage contribute to MI

    Causes:
    · Age
    · Family History
    · Smoking
    · High cholesterol levels
    · Diabetes
    · Obesity


    Additional Information:
    · ABG - Arterial blood gas analysis where the arterial blood is taken and the gaseous analysis will be done
    · Serum electrolytes - the electrolytes like sodium, potassium, calcium and magnesium will be analyzed
    · CBC - complete blood count where the blood cells and other components will be analyzed

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