| columns: | |
| Column 4: | |
| 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. | |
| Cleveland Clinic is a non-profit academic medical center. Advertising on | |
| our site helps support our mission. We do not endorse non-Cleveland Clinic | |
| 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 | |
| \ " | |
| searchEnabled: false | |
| columnsReferences: | |
| - content | |