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Doctors can diagnose myocardial infarction as early as two hours after coronary occlusion with the help of simpler automatic assays of MB-creatine kinase mass that use monoclonal antibodies. Other investigational markers of myocardial necrosis include myoglobin and troponin.
The immediate treatment of MI include, taking aspirin, which prevents blood from clotting, and nitro-glycerin to treat chest pain and oxygen.
Electrocardiogram (ECG or EKG). This first test done to diagnose a heart attack records electrical signals as they travel through the heart. Sticky patches (electrodes) are attached to the chest and sometimes the arms and legs.
Emergency Medical Treatment Even before docHubing the hospital, emergency personnel may begin treatment of a suspected heart attack with: Aspirin, clopidogrel, heparin, or other anticlotting agents to prevent new clots. Thrombolytic drugs to dissolve existing clots (clot-busting drugs such as tPA)
An MI is diagnosed when 2 of the following criteria are met: Symptoms of ischemia. New ST-segment changes or a left bundle branch block (LBBB) Presence of pathological Q waves on electrocardiogram (ECG) New regional wall motion abnormality on imaging study. Presence of an intracoronary thrombus at autopsy or angiography.
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The diagnosis of myocardial infarction requires two out of three components (history, ECG, and enzymes). When damage to the heart occurs, levels of cardiac markers rise over time, which is why blood tests for them are taken over a 24-hour period.
Electrocardiogram (ECG or EKG). This first test done to diagnose a heart attack records electrical signals as they travel through the heart.
Diagnosis is by ECG and cardiac markers. Immediate treatment includes oxygen, antianginals, antiplatelet drugs, and anticoagulants. For patients with ST-segment elevation MI, do immediate angiography with percutaneous coronary intervention (PCI); if immediate PCI is not available, give fibrinolytics.

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