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Hjärtinfarkt

Senast uppdaterad: Senast reviderad:
Sakkunnig:
Definition:
Akut skada/död av hjärtmuskelceller på grund av ischemi, vanligtvis orsakad av ocklusion av kransartären.
Förekomst:
Ökar med åldern och är högre hos män än hos kvinnor under hela livet.
Symtom:
Typiskt är akut insättande och ihållande retrosternal smärta som åtföljs av illamående, yrsel, andnöd, ångest. Kan stråla ut mot arm, hals och/eller käke. 
Kliniska fynd:
Patienten är oftast smärtpåverkad, orolig och kallsvettig. Eventuell takypné.
Diagnostik:
Hjärtenzymer (troponin), EKG, ekokardiografi och eventuell koronarangiografi.
Behandling:
Akutbehandling med nitroglycerin, syrgas, ASA, morfin, eventuell trombolys. PCI utförs omedelbart om möjligt.
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  • Faris Al-Khalili, med dr och specialist, Stockholm Heart Center
  • Josef Sayegh, specialist i allmänmedicin, Stockholm