10627708
Description
Mind Map by rama ibrahim, updated more than 1 year ago
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Created by rama ibrahim
almost 7 years ago
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myocardial infarction
- chest pain
- heart problems
- lung problems
- gastrointestinal problems
- anxiety/panic attack
- heart problems
- angina
- chest pain or discomfort
- symptom of heart disease
- caused by reduced oxygen
in the blood in the heart
- types
- typical/stable
- on exertion
- <20 min
- 70% atherosclerosis
- reversible
- ST segment depression
- relieved by rest/nitrates
- on exertion
- prinzmetal/variant
- unrelated to exertion
- due to coronary vasospasm
- reversible injury
- ST segment elevation
- relieved by
nitrates/calcium-channel blockers
- unrelated to exertion
- unstable/crescendo
- occurs at rest
- due to acute plaque changes
- reversible injury
- ST segment depression
- relieved by nitrates
- high risk of progression to MI
- occurs at rest
- typical/stable
- emergency treatment
- morphine
- oxygen
- nitrates
- aspirin
- morphine
- chest pain or discomfort
- types of MI
- subendocardial injury
- ST depression
- ST depression
- transmural injury
- ST elevation
- ST elevation
- subendocardial injury
- signs and sypmtoms
- chest discomfort
- trouble breathing
- feeling faint
- sick or discomfort in stomach
- chest discomfort
- gross and microscopic
findings of MI
- 0-24 hrs
- no gross changes
- coagulation necrosis present within 12-24 hrs
- nenutrofils begin to enter
- no gross changes
- 1-3 days
- pallor of infarcted tissue
- myocyte nuclei and striations disappear
- neutrophils are abundant and
lyse the dead myocardial cells
- pallor of infarcted tissue
- 3-7 days
- red granulation tissue
- macrophages begin to remove necrotic debris
- red granulation tissue
- 7-10 days
- necrotic area is brightly yellow
- granulation tissue and collagen are well developed
- necrotic area is brightly yellow
- during 2 months
- white patchy noncontractile scar
- white patchy noncontractile scar
- 0-24 hrs
- investigations
- ECG
- lipid profile
- chest x-ray
- pulmonary edema
- left ventricular
hypertrophy
- pulmonary edema
- blood test
- biomarkers
- biomarkers
- echocardiogram
- uses ultrasound
- uses ultrasound
- coronary angiography
- uses special dyes and x-rays
- uses special dyes and x-rays
- ECG
- complications
- arrhythmia
- cardiogenic shock
- thromosis
- acute pericarditis
- rupture
- cardiac tamponade
- dressler syndrome
- ventricular aneurysm
- arrhythmia
- risk factors of MI
- age
- smpking
- high BP
- high cholesterol/ TG/ LDL
- diabetes
- family history
- lack of physical activity
- obesity
- stress
- illegal drug use
- preeclampsia
- autoimmune condition
- age
- treatment of MI
- aspirin/heparin
- oxygen
- nitrates
- ACE inhibitors
- fibrinolysis/angioplasty
- surgical
- coronary angioplasty
- coronary angioplasty
- psychological/ lifestyle changes
- support groups
- support groups
- aspirin/heparin
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