Copeptin a newer test for myocardial infarction alone is more sensitivity than the conventional troponin test ,and in combination the sensitivity rises to 99%, researchers found.
Professor Christian Müller, reviewing the data, said that the new tests could answer an unmet clinical need in the assessment of chest pain, since current troponin tests have an undetectable “blind interval” of 3-4 hours after the onset of MI. Even if patients follow recommendations and present within 2 hours of chest pain, the test will be negative and electrocardiography monitoring will be required for 6 to 8 hours.
“The current-generation troponin tests are important but have important limitations in [making an] early diagnosis. There seem to be two approaches to solve this problem: either use troponin in combination with copeptin, or perhaps the approach now favored by many is the use of sensitive troponin assays,” said Müller, of the University Hospital Basel, Switzerland.
Generally speaking heart attack means assault on it's muscles.Heart can be thought as a muscular pump,maintaining blood circulation throughout the body providing nutrition and oxygen .The heart also get supply from it's own blood vessels to survive and function.Due to various reasons importantly blockade to it's blood vessels, may be partial or complete, deprives it of the oxygen and other things.This blocked most commonly occurs due to deposition of bad fat on it's wall called atherosclerosis . This causes heart muscles to scream for oxygen and nutrition and may progress to death of a portion it, called myocardial infarction.The symptoms experienced are in form of some sort of squeegeeing sensation of chest more towards left,severe to milder pain in left lower chest which may seem traveling to neck,arm, upper abdomen and right side of chest.Patient may be sweating, fainting,vomiting and laboring to take respiration.Patient may go to immediate shock and even death instantaneously.More often patient becomes breathless on accustomed exertion, a common warning sign not to be ignored.Immediate rush to the local doctor in the first place instead of searching for expert may save life and lessen the damage .
The message is that the local doctor is the savior