General Discussion
Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region Forums4 hours is the time frame to rule out a heart attack.
From my understanding it takes 4 hours for lab work to rule out a heart attack.
This much we know, whatever information is coming out of The White House is a lie.
MoonRiver
(36,926 posts)Chumpy really thinks Americans are as stupid as him.
WheelWalker
(8,955 posts)TheBlackAdder
(28,209 posts).
Evangelicals: The answer to my prayers.
Non-Evangelicals: Meh.
.
Johnny2X2X
(19,066 posts)They can rule it out in an hour or less.
I know because I was in the ER yesterday for heart palpitations. Had an EKG hooked up and results back from that within a half hour. Blood work back in an hour or an hour and a half. No heart attack.
And the President has a full medical wing at the White House, he would have found out more quickly.
My guess is he had a minor heart attack and went to Walter Reed because he couldnt be treated at the White House. Well see what his appearances are the next week.
madaboutharry
(40,212 posts)three apart and then wait for the second results.
EndlessWire
(6,537 posts)used to be CE Q8H x 3. The need for 3 is sometimes changed to less, and it's hard to say what they would do for a President. But that would require admission.
He has a lot of risk factors. Everyone is saying that he had chest pain. You could do nitro for angina and see how that goes, I guess. I don't believe what they have said about it, either.
Grasswire2
(13,571 posts)High-sensitivity troponin tests are primarily ordered to help diagnose a heart attack and rule out other conditions with similar signs and symptoms. Either a troponin I or troponin T test can be performed; usually a laboratory will offer one test or the other. The concentrations are different, but they basically provide the same information.
Troponin tests are also sometimes used to evaluate people for heart injury due to causes other than a heart attack or to distinguish signs and symptoms such as chest pain that may be due to other causes. Testing may also be done to evaluate people with angina if their signs and symptoms worsen.
Troponin tests are sometimes ordered along with other cardiac biomarkers, such as CKMB or myoglobin. However, troponin is the preferred test for a suspected heart attack because it is more specific for heart injury than other tests (which may be elevated in the blood with skeletal muscle injury) and remain elevated for a longer period of time.
skip fox
(19,359 posts)KentuckyWoman
(6,687 posts)Though in and out in an hour for even a minor MI baffles me. He's already got some sort of "minor heart issue" which could be anything not MI related. Electrical issues, valve issues, etc.
If the WH staff could not handle it, then he had to have been pretty out of sorts.
MuseRider
(34,111 posts)but I am staggered by the fact that someone in the ER for heart palpitations did not get a read out for half an hour? Even the people running the machine, the tech with no real medical training would see right away what your diagnosis would be and alert someone. The nurses are expert in these things, I know, I used to be one and the ER doc would definitely be able to diagnose and start a treatment if you needed one.
One half of an hour is 29 minutes too long in an ER.
Sorry, I cannot understand modern medicine. I am very happy you are OK.
Ms. Toad
(34,075 posts)even for a priority case that was not immediately life-threatening (GSW, stab wound, severe heart attack), the first 15 minutes is taken up just getting to examining room.
When my daughter used to go in with what appeared to be recurrent cellulitis, she was put ahead of everyone short of things that were immediately life-threatening). I can't recall any time it took less than 15 minutes to start IV antibiotics - even with the risk of necrotizing cellulitis. I've also had heart palpitations - which were never treated as a signficicant emergency. Palpitations are not inherently immediately life-threatening.
From Mayo:
PSPS
(13,601 posts)An actual heart attack can be detected in just a few minutes (or less.) Your other tests, which took longer, were to look at other things that might be responsible for your symptoms.
Within a few minutes of entering the ER I was told I wasnt having a heart attack.
Jewls2
(218 posts)rzemanfl
(29,565 posts)These fuckers will do anything.
The Velveteen Ocelot
(115,735 posts)and would have taken care of all of the tests at the WH, which has a very well-equipped medical facility. Whatever it is, it's real and possibly serious.
rzemanfl
(29,565 posts)on restaurant patios. To apply rational standards to their doings is probably futile. They also lie about everything. You could be right, I could be right. Either way, we won't get the truth from them.
cwydro
(51,308 posts)Nailed it.
KentuckyWoman
(6,687 posts)If the EKG is borderline and symptoms point to heart, then the bloodwork will show if the heart is under stress. STAT bloodwork can be ready in 15 min. Generally a 2nd round of bloodwork is taken 60-90 min after the first and compared to see if the stress marker is going up. If that come back negative and also the EKG is good, then they generally say no heart attack.
In the meantime they go looking for other reasons.
Pure speculation on my part. There is likely a doc on staff at the WH 24/7 . If they made an unscheduled trip to Walter Reed for chest discomfort then Don was pretty out of sorts and the WH EKG didn't look like it should.
FM123
(10,053 posts)The only thing we know for sure is that the White House has its own doctor's office and clinic on site for him and yet he had to be taken to Walter Reed Hospital...
RhodeIslandOne
(5,042 posts)....can figure out in minutes.
The lies cooked up are another story.
2naSalit
(86,647 posts)passed out during a fit of apoplexy. I hope he is in full on panic mode and can't sleep.
C_U_L8R
(45,003 posts)world wide wally
(21,744 posts)safeinOhio
(32,688 posts)for a possible stroke? That might take longer for a mild one, IDK.
Mendocino
(7,495 posts)they would have administered TPA (alteplase) immediately. Think of TPA as "clotbusters." I believe that he had a TIA (ministroke) or several over a period of time. TPA is generally not recommended for TIA.
handmade34
(22,756 posts)yes, to be sure... no matter the topic
pandr32
(11,588 posts)"...whatever information is coming out of the White House is a lie."
My guess is that tRumpy is so wound up he is suffering cardiac symptoms. He has spent his whole adult life crafting a false image of who he is. His only talent is this p.r., but under heavy scrutiny it is getting harder and harder to keep it up. He has used the opportunity he has to surround himself with yes men and sycophants that he can control, yet he is losing his grip.
We also know, despite how tRumpy has tried to spin his health as good, that it isn't. In spite of the lifts in his shoes, the heavy shoulder pads in his suits, and the fake orange tint meant to pretend an outdoorsy look of health we can see right through it. His head of hair is full of weaves and gawd knows what else and his whole crafted look is dumpy and flaccid--not at all virile as he hopes.
He has run his grift right against the wall of reality and time. It is run out. Stories of him raging are probably true. He has abused everyone and everything and now he will suffer the consequences. Good.
DFW
(54,405 posts)I was delivered to the emergency room about noon when I had mine. A cardiologist came down and looked at the blood work, and said, "you're having a heart attack, I'm sure of it. Your lab work doesn't show it yet, but it will."
There is some enzyme count that spikes up when you are having a heart attack. The cardiologist who was monitoring me got more and more frustrated as the day wore on. They were sticking a needle in me every half hour or so, and my stupid enzyme count refused to go up. The cardiologist refused to believe I had anything other than a heart attack.
FINALLY, about 8 PM, my count went up. Normal was about 300, and I jumped up to 1300. I thought this sounded really bad. The cardiologist said he was relieved he had been right (he stuck around until his suspicions had been confirmed), but that I should relax. My heart attack was barely on the radar. If it had been a serious heart attack, he said, my readings would have been somewhere between 9000 and 13000.
Grasswire2
(13,571 posts)When was that? A while ago? The test most often used first now is high sensitivity Troponin. If the first result is elevated, two more follow. See my link in this thread.
I recall that you had a close call another time too, didn't you? A widow maker of sorts?
This was 2011.
The really close call was 2004. That's when I suspected something and called a cardiologist to get checked out. The German two tier health care system assumed I was second tier, and said they had an appointment free in two months. I said I was American, "passing through," and would pay cash up front. They suddenly had an appointment free that afternoon. That was a Monday. They scheduled me for an echo stress test two days later. By Thursday morning, I was having my two stents put in, and the surgeon showed me the film. I had two forward coronary arteries 99% blocked, and it was pure chance that I got there before I had 100% occlusion. An hour later might have been too late.
saidsimplesimon
(7,888 posts)We have a mad man at the helm, in need of an intervention.
Grasswire2
(13,571 posts)I was in ER this week for symptoms that could have been cardiac. Lots of dysrhythmia. The joint was jumping on Friday night, with drunks and screamers in addition to sick people, and few beds empty. Busy, busy. I had labs (including Troponin 1), EKG all done in and out the door in 90 minutes. (Turned out to be a reaction to an antibiotic)
That first Troponin result is a strong indicator of whether the patient needs another in a series of three.
Here's a really good article on the test:
https://www.healthline.com/health/troponin-levels#outlook
SterlingPound
(428 posts)thoughts and prayers https://imgflip.com/i/339rs8 via @imgflip