clinically sharp ochagovaja a dystrophy. Detailed interrogation of the patient

you in section: clinically sharp ochagovaja a dystrophy

For diagnostics of a heart attack of a myocardium are necessary:

1. Detailed interrogation of the patient.

2. Objective inspection; changes of a body temperature, frequency of warm reductions, a warm rhythm, change of arterial pressure, borders of heart, sonority of tones, occurrence of noise of heart, noise of a friction of a pericardium (are thus considered at transmu-ralnyh heart attacks), etc.

3. Laboratory-biochemical researches; changes of quantity of leukocytes (more often lejkotsitoz), increase SOE, enzymes, the S-jet protein, sialovyh acids, albuminous fractions of blood, koagulogrammy, tromboelastogrammy, etc.

4. Kliniko-tool researches (an electrocardiogram, FAS, etc.). The semiology krupnoochagovogo a heart attack depends on its clinical form, the period of a current of disease.

The disease Beginning, along with other symptoms, can be accompanied by rise in temperature of a body to 38 °s with its normalisation for 3-4th day zobolevanija. In the first-second days of disease the increase in quantity of leukocytes to 10 • 109/l-15 • 10 9/л with shift lejkotsitarnoj formulas to the left both their subsequent decrease and normalisation by 4-6 day of disease is possible. In process of reduction of quantity of leukocytes increase SOE for 3-7th day of disease (' a symptom of scissors ') with its normalisation within 2-5 weeks is marked.