What examinations should patients do?

Heart failure is the last stage of all cardiovascular diseases, and it is called the "last battlefield" of cardiovascular disease. At present, the prevalence of heart failure is rising year by year, and the age of patients is getting younger, heart failure has brought great pain to patients, and it also brings a heavy economic burden on society and families.

Ren Chengqian, the head of the Heart failure center of Zhuzhou Kaide Heartvascular Hospital, said that during the diagnosis and treatment of heart failure, the first step needs to be clear whether it is heart failure. The second step is to determine the type of heart failure. Causes, complications and complications. In this series of diagnosis and treatment, relevant examinations are required for comprehensive assessment. So, what examinations do patients need to do?

Laboratory inspection

Eli-sodium peptide [BNP) or N-end-end B-type Bye Sodium Sodium Peptide Original (NT-PROBNP)] test recommendation is recommended for heart failure screening, diagnosis and differentiation diagnosis, severity of the condition, and prognosis evaluation. At the same time, it is recommended that patients with heart failure admitted to the hospital for muscle calcium protein testing for the cause diagnosis (such as acute myocardial infarction) and prognosis evaluation for patients with acute heart failure. Blood routine, electrolyte, blood glucose, renal function, liver function, serum iron, iron protein, total iron binding force, blood lipids, glycated hemoglobin, and thyroid function as the initial conventional examination of patients with heart failure.

Film degree exam

Imaging examinations include ultrasound cardiac emotion diagram, coronary angiography or coronary CT examination, X -ray examination, cardiac magnetic resonance, etc. Ultrasonic cardiac diagram can determine the patient's heart function and structural state, and the diagnosis of heart failure is the most valuable; X -ray examination can identify/exclude lung diseases or other diseases that cause breathing difficulties, provide information about pulmonary congestion and heart enlarged; Coronary arterial angiography or coronary CT examination can clarify coronary disease and provide important information for heart failure therapy; cardiac magnetic resonance is the "gold standard" that measures the ventricular capacity, quality and ejection score. Inspection Method.

ECG

ECG examination and dynamic ECG examination should be listed as conventional examinations. It can find that patients have complications such as arrhythmia, myocardial ischemia or infarction, myocardial hypertrophy, and pericardial effusion.

Other special examinations

Special tests for heart failure are used for patients who need to further clarify the cause and conditional assessment, including the right cardiac centers and ventricular angiography, load ultrasound cardiac percussion, nuclein ventricular angiography, and nuclein myocardial perfusion and/or metabolic appear, cardiopulmonary motion test, cardiopulmonary motion test , Cardiomy Biopsy, genetic testing, etc.

【Expert Reminder】

The person in charge of the heart failure center of Zhuzhou Kaide Heartvascular Hospital reminds that the test and ultrasonic cardiac cardic diagram test is the "golden partner" in the process of heart failure screening, diagnosis, risk layering, curative effect assessment and follow -up process. Review every 3 months, and should be reviewed immediately when the condition changes. During the follow -up treatment and follow -up of heart failure, blood routine, biochemical (liver function, renal function, electrolyte, blood sugar, blood lipid) and ECG examination should be performed regularly.

Correspondent/Li Jiechi

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