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modelName: meta-llama/Llama-3.3-70B-Instruct
modelProvider: nebius
userPrompt: |-
Generate a simple list of topics based on the following text.
Do not generate more than 3 topics. Generate the a list in JSON format
{{content}}
prompt: "
You are a rigorous, intelligent data-processing engine. Generate only the
requested response format, with no explanations following the user
instruction. You might be provided with positive, accurate examples of how
the user instruction must be completed.
# Examples
The following are correct, accurate example outputs with respect to the
user instruction:
## Example
### Input
content: An ST-elevation myocardial infarction (STEMI) is a type of heart
attack that mainly affects your heart’s lower chambers. They are named for
how they change the appearance of your heart’s electrical activity on a
certain type of diagnostic test. STEMIs tend to be more severe and
dangerous compared to other types of heart attack.
An ST-elevation myocardial infarction (STEMI) is a type of heart attack
that is more serious and has a greater risk of serious complications and
death. It gets its name from how it mainly affects the heart’s lower
chambers and changes how electrical current travels through them.
Any heart attack is a life-threatening medical emergency that needs
immediate care. If you or someone you’re with appears to be having a heart
attack, do not hesitate to call 911 (or the appropriate number for local
emergency services). Any delay in receiving care can lead to permanent
damage to the heart muscle or death.
Myocardial infarction is the medical term for a heart attack. An
infarction is a blockage of blood flow to the myocardium, the heart
muscle. That blockage causes the heart muscle to die.
A STEMI is a myocardial infarction that causes a distinct pattern on an
electrocardiogram (abbreviated either as ECG or EKG). This is a medical
test that uses several sensors (usually 10) attached to your skin that can
detect your heart’s electrical activity. That activity is then displayed
as a wave pattern on a paper readout or a digital display. The different
parts of the wave are labeled using letters, starting at P and ending at
U.
To best understand ST-elevation, it helps to know about two specific wave
sections:
When there’s an elevation in the ST segment, that often means there’s a
total blockage of one of the heart's main supply arteries. When that
is happening during a heart attack, it can be a sign that the muscle of
the ventricles is dying. That’s critical information for healthcare
providers to know during a STEMI because it means the heart muscle is in
the process of dying. That also means reopening that artery and restoring
blood flow as soon as possible may prevent permanent damage, or at least
limit the severity of the damage.
That’s dangerous because the ventricles are the chambers of your heart
that pump blood to your lungs and body. If there’s too much damage to the
muscle in the ventricles, your heart can’t pump enough blood to support
your body. That’s why STEMIs are so dangerous and why restoring blood flow
quickly is so critical.
Your heart muscle also can’t regrow or regenerate itself, so if the muscle
goes without blood flow for too long, the damage to that muscle can be
permanent. However, restoring blood flow quickly may keep the damage from
being permanent or at least minimize the severity of the damage.
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products or services. Policy
Blockages in the arteries that supply blood to your heart muscle are what
cause most heart attacks. Usually, the blockage happens because plaque, a
fatty, waxy buildup accumulates on the inside of your arteries. A blood
clot can form on the plaque deposits, rapidly closing the artery and
interrupting blood flow to the heart muscle.
Once blood flow is partially or totally blocked, it causes ischemia
(iss-key-me-uh). This is the medical term for how your cells and tissues
start to die because they aren't getting blood flow. During a heart
attack, the loss of blood flow causes the muscle in your ventricles to
begin to die. If too much heart muscle sustains damage, your heart may not
have the ability to supply enough blood to your body. That leads to a
condition known as cardiogenic shock, which is often fatal. Also, ischemia
of the heart muscle may also trigger a dangerous electrical rhythm known
as ventricular tachycardia or ventricular fibrillation, which can lead to
cardiac arrest (where your heart stops entirely) and sudden death.
Among heart attacks, STEMIs are typically more severe. Between 2.5% and
10% of people who have one die within 30 days.
STEMI is one of three conditions that fall under acute coronary syndrome,
a disease that happens because of limited or no blood flow to a part of
your heart. The other two conditions are non-ST elevation heart attacks
(NSTEMI) and unstable angina (sudden chest pain, usually while resting,
caused by limited blood flow to the heart).
There are three coronary arteries that provide blood flow to your heart
muscle. Depending on which arteries contain the blockage, damage will
happen in different areas of the heart muscle.
The key characteristic that identifies a STEMI is the ST-segment
elevation. ST-segment elevation usually indicates a total blockage of the
involved coronary artery and that the heart muscle is currently dying.
Non-STEMI heart attacks usually involve an artery with partial blockage,
which usually does not cause as much heart muscle damage. While ECG
results can suggest an NSTEMI, diagnosis usually requires a test that
looks for a certain chemical, troponin, in your blood. When there’s damage
to your heart muscle, those cells release troponin into your blood. If the
blood test detects troponin and you don't have ST-segment elevation,
this means it's likely you had a non-ST-elevation heart attack or
NSTEMI.
Several risk factors increase the chances of having a heart attack. You
can change some of those factors, but not others.
You can manage or modify lifestyle factors. These include:
These factors include:
There are an estimated 550,000 new heart attacks and 200,000 repeat heart
attacks (meaning the person has had one before) heart attacks in the U.S.
each year. About 38% of people who go to the emergency room with acute
coronary syndrome were diagnosed with a STEMI. That means there are a
little over 280,000 people who have a STEMI in the U.S. each year.
The most common symptoms of heart attack, described by those having one,
include:
Women are less likely to say they have pain in the center of the chest or
discomfort that feels like indigestion. Heart attack symptoms that women
experience can often be those listed above but may also include:
A physician will diagnose STEMI based on a combination of physical
examination of your symptoms and diagnostic tests. Once you're
medically stable, and if you're able to answer questions, a provider
can do a physical examination and patient history assessment (where the
doctor asks you questions about your medical history and personal
circumstances).
Tests done to confirm or rule out a heart attack diagnosis include:
Electrocardiogram (EKG): This test, which shows electrical activity in the
heart like a wave pattern (described above), is key to diagnosing a STEMI.
Imaging: The most common imaging test used with suspected heart attacks is
echocardiography. This test uses ultra-high-frequency sound waves to
create an image of your heart, including the internal structure. This is
also mobile and doable without moving you from a hospital bed, making it
especially useful and fast in emergencies.
Other imaging tests are also possible, especially when EKG or other tests
are inconclusive but there’s still enough reason to suspect a heart
attack. Use of the following tests is also possible:
Lab testing: Damage to your heart’s cells causes them to release a
chemical called troponin. A troponin test can help confirm a heart attack,
which is important because a few other conditions can cause ST elevation.
Some of those conditions include:
Treating a STEMI is time-sensitive. That means the faster the treatment,
the better the chances for a favorable outcome. If your blood oxygen
levels are low, treatment may include supplemental oxygen. There are also
several different potential treatments for heart attack, several of which
may happen in sequence or at the same time.
An interventional cardiologist performs this treatment, inserting a
catheter-based device into a major blood vessel (usually in your wrist or
near your upper th
# User instruction
Generate a simple list of topics based on the following text.
Do not generate more than 3 topics. Generate the a list in JSON format
{{content}}
# Your response
\ "
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