Ischemic episode and hanging on to a painful memory?

摘要

The simplest of the memory parameters could be electrocardiographic (ECG) changes and blood tests. The ECG alterations, such as the T-wave changes, are unlikely to be specific; although ischemic changes rarely show the combination of positive T-waves and aVL, positive or isoelectric changes in lead I and precordial T-wave inversion exceeding that seen in lead III (4). In contrast, biochemical markers are more promising. Ischemia modified-albumin reflects albumin that has binding of fatty acids during ischemia (3), which reduces the ability of albumin to combine with cobalt in the assay. Information from this bio-marker is incremental to troponin and the ECG (5), but the diagnostic accuracy of the technique remains suboptimal (6,7), with false positives associated with circulating lactate (8).