{"id":10439,"date":"2007-12-14T12:14:20","date_gmt":"2007-12-14T09:14:20","guid":{"rendered":"https:\/\/www.synevo.ro\/afectiuni\/markeri-necroza-cardiaca\/"},"modified":"2020-07-10T12:58:02","modified_gmt":"2020-07-10T09:58:02","slug":"markeri-necroza-cardiaca","status":"publish","type":"synevo_diseases","link":"https:\/\/old.synevo.md\/ru\/afectiuni\/markeri-necroza-cardiaca\/","title":{"rendered":"Markeri necroz\u0103 cardiac\u0103"},"content":{"rendered":"<p><strong><span style=\"color: #000080;\">Sindroamele coronariene acute (SCA)<\/span><\/strong> includ:<\/p><ul class=\"wp-block-list\"><li style=\"text-align: justify;\">infarctul miocardic acut (cu sau f\u0103r\u0103 supradenivelare de segment ST);<\/li><li style=\"text-align: justify;\">angin\u0103 pectoral\u0103 instabil\u0103;<\/li><li style=\"text-align: justify;\">moartea subit\u0103 cardiac\u0103 aritmic\u0103.<\/li><\/ul><p>Acestea reprezint\u0103 prima cauz\u0103 de morbiditate \u015fi mortalitate \u00een Rom\u00e2nia.<br><strong>Anamneza<\/strong>, <strong>examenul clinic<\/strong> \u015fi<strong> electrocardiograma<\/strong>, efectuate ini\u0163ial \u015fi \u00een dinamic\u0103, pot orienta c\u0103tre diagnosticul de SCA, dar au valoare prognostic\u0103 limitat\u0103.<\/p><!--more--><p>Pierderea integrit\u0103\u0163ii membranei cardiomiocitelor, care apare dup\u0103 necroza acestora, permite macromoleculelor intracelulare s\u0103 difuzeze \u00een intersti\u0163iu \u015fi apoi \u00een circula\u0163ie.<\/p><p>Aceste macromolecule, cunoscute sub numele de <strong>markeri biochimici de necroz\u0103 miocardic\u0103<\/strong>, pot fi astfel detecta\u0163i \u00een circula\u0163ia sangvin\u0103.<\/p><p>Dinamica eliber\u0103rii \u00een plasm\u0103 a proteinelor cardiace dup\u0103 infarctul de miocard este ilustrat\u0103 \u00een figura:<\/p><div class=\"wp-block-image\"><figure class=\"aligncenter\"><img decoding=\"async\" src=\"\/wp-content\/uploads\/2009\/06\/markeri_necroza_cardiaca.jpg\" alt=\"markeri_necroza_cardiaca\" class=\"wp-image-507\" title=\"markeri_necroza_cardiaca\"\/><\/figure><\/div><p><strong>Rolul markerilor cardiaci<\/strong> \u00een diagnosticul, stratificarea riscului \u015fi tratamentul pacien\u0163ilor cu durere de tip coronarian \u015fi cu suspiciune de sindrom coronarian acut este unul central conform noilor ghiduri de diagnostic \u015fi tratament ale pacientilor cu SCA (American College of Cardiology\/ American Heart Association).1,2<\/p><div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-1 wp-block-columns-is-layout-flex\"><div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\"><p><strong>Teste disponibile \u00een laboratorul Synevo<\/strong>:<\/p><\/div>\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div class=\"synevo-shop-products\">\r\n    <div class=\"sysprod\">\r\n        \r\n        <div class=\"sysprod-products\">\r\n                            <div class=\"sysprod-product\">\r\n                    <a class=\"sysprod-product-title\" href=\"https:\/\/old.synevo.md\/ru\/shop\/creatinkinaza-mb\/\">Creatinkinaza MB<\/a>\r\n                    <div class=\"sysprod-product-price\">\r\n                        <span>Pre\u021b:<\/span>\r\n                        <span>95.00 lei<\/span>\r\n                    <\/div>\r\n                                            <div class=\"sysprod-product-addcart\">\r\n                            <a\r\n                                href=\"?add-to-cart=10242\"\r\n                                data-quantity=\"1\"\r\n                                class=\"addToCart button product_type_simple add_to_cart_button ajax_add_to_cart \"\r\n                                data-product_id=\"10242\"\r\n                                data-product_sku=\"CH70\"\r\n                                rel=\"nofollow\"\r\n                            ><div><\/div><\/a>\r\n                        <\/div>\r\n                                    <\/div>\r\n                            <div class=\"sysprod-product\">\r\n                    <a class=\"sysprod-product-title\" href=\"https:\/\/old.synevo.md\/ru\/shop\/creatinkinaza-ck\/\">Creatinkinaza (CK)<\/a>\r\n                    <div class=\"sysprod-product-price\">\r\n                        <span>Pre\u021b:<\/span>\r\n                        <span>90.00 lei<\/span>\r\n                    <\/div>\r\n                                            <div class=\"sysprod-product-addcart\">\r\n                            <a\r\n                                href=\"?add-to-cart=9206\"\r\n                                data-quantity=\"1\"\r\n                                class=\"addToCart button product_type_simple add_to_cart_button ajax_add_to_cart \"\r\n                                data-product_id=\"9206\"\r\n                                data-product_sku=\"CH28\"\r\n                                rel=\"nofollow\"\r\n                            ><div><\/div><\/a>\r\n                        <\/div>\r\n                                    <\/div>\r\n                            <div class=\"sysprod-product\">\r\n                    <a class=\"sysprod-product-title\" href=\"https:\/\/old.synevo.md\/ru\/shop\/lactat-dehidrogenaza-ldh\/\">Lactat dehidrogenaza (LDH)<\/a>\r\n                    <div class=\"sysprod-product-price\">\r\n                        <span>Pre\u021b:<\/span>\r\n                        <span>90.00 lei<\/span>\r\n                    <\/div>\r\n                                            <div class=\"sysprod-product-addcart\">\r\n                            <a\r\n                                href=\"?add-to-cart=9259\"\r\n                                data-quantity=\"1\"\r\n                                class=\"addToCart button product_type_simple add_to_cart_button ajax_add_to_cart \"\r\n                                data-product_id=\"9259\"\r\n                                data-product_sku=\"CH43\"\r\n                                rel=\"nofollow\"\r\n                            ><div><\/div><\/a>\r\n                        <\/div>\r\n                                    <\/div>\r\n                            <div class=\"sysprod-product\">\r\n                    <a class=\"sysprod-product-title\" href=\"https:\/\/old.synevo.md\/ru\/shop\/troponina-t\/\">Troponina T<\/a>\r\n                    <div class=\"sysprod-product-price\">\r\n                        <span>Pre\u021b:<\/span>\r\n                        <span>300 lei<\/span>\r\n                    <\/div>\r\n                                            <div class=\"sysprod-product-addcart\">\r\n                            <a\r\n                                href=\"?add-to-cart=9324\"\r\n                                data-quantity=\"1\"\r\n                                class=\"addToCart button product_type_simple add_to_cart_button ajax_add_to_cart \"\r\n                                data-product_id=\"9324\"\r\n                                data-product_sku=\"MC02\"\r\n                                rel=\"nofollow\"\r\n                            ><div><\/div><\/a>\r\n                        <\/div>\r\n                                    <\/div>\r\n                    <\/div>\r\n        \r\n    <\/div>\r\n<\/div>\r\n\r\n<style>\r\n.synevo-shop-products {\r\n    padding: 24px 0;\r\n    margin: 24px 0;\r\n    border-radius: 10px;\r\n    background: #F6F7F9;\r\n}\r\n.synevo-shop-products .sysprod-product {\r\n    position: relative;\r\n    margin: 0 24px;\r\n    margin-bottom: 24px;\r\n    border-radius: 10px;\r\n    background: #fff;\r\n    display: flex;\r\n    flex-direction: row;\r\n    align-items: center;\r\n}\r\n.synevo-shop-products .sysprod-product:last-child {\r\n    margin-bottom: 0;\r\n}\r\n.synevo-shop-products .sysprod-product-title {\r\n    flex-grow: 1;\r\n    padding: 15px;\r\n    margin-left: 14px;\r\n    font-family: Poppins,sans-serif;\r\n    font-weight: 600;\r\n    font-size: 16px;\r\n    color: #29263F;\r\n}\r\n.synevo-shop-products .sysprod-product-price {\r\n    flex-shrink: 0;\r\n    font-family: Poppins,sans-serif;\r\n    font-weight: 600;\r\n    font-size: 18px;\r\n    color: #FDB813;\r\n}\r\n.synevo-shop-products .sysprod-product-addcart {\r\n    flex-shrink: 0;\r\n    position: relative;\r\n    width: 38px;\r\n    height: 38px;\r\n    margin-left: 24px;\r\n    margin-right: 24px;\r\n}\r\n.synevo-shop-products .sysprod-product-addcart .button {\r\n    top: unset;\r\n    right: unset;\r\n}\r\n<\/style><\/div><\/div><hr class=\"wp-block-separator\"\/><p><strong><small>Bibliografie:<\/small><\/strong><\/p><p><small>1. Maria Florescu, Strategia \u201cmultimarker\u201d \u00een evaluarea sindroamelor coronariene acute, www.presspro-cardio.ro 2005, Ref Type: Internet Communication<br>2. Donald Schreiber, MD, CM, Use of Cardiac Markers in the Emergency Department, www.emedicine.com 2006, Ref Type: Internet Communication<\/small><\/p><hr class=\"wp-block-separator\"\/><p>Mai multe informa\u021bii despre teste:<\/p><ul class=\"wp-block-list\"><li><a href=\"\/shop\/creatinkinaza-mb\/\" class=\"rank-math-link\">CK-MB<\/a><\/li><li><a href=\"\/shop\/creatinkinaza-ck\/\" class=\"rank-math-link\">Creatinkinaza<\/a><\/li><li><a href=\"\/shop\/lactat-dehidrogenaza-ldh\/\" class=\"rank-math-link\">LDH<\/a><\/li><li><a href=\"\/shop\/troponina-t\/\" class=\"rank-math-link\">Troponina T<\/a><\/li><\/ul>","protected":false},"featured_media":10438,"template":"","synevo_diseases_category":[891],"class_list":["post-10439","synevo_diseases","type-synevo_diseases","status-publish","has-post-thumbnail","hentry","synevo_diseases_category-cardiologie"],"_links":{"self":[{"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/synevo_diseases\/10439","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/synevo_diseases"}],"about":[{"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/types\/synevo_diseases"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/media\/10438"}],"wp:attachment":[{"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/media?parent=10439"}],"wp:term":[{"taxonomy":"synevo_diseases_category","embeddable":true,"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/synevo_diseases_category?post=10439"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}