chest pain <20 min
caused by reduced
blood flow to the heart
Investigations
Blood test
For cardiac
enzymes,
ESR, WBC,
glucose
ECG
Lipid profile
Myocardial
infarction
is the irreversible death (necrosis) of heart
muscle secondary to prolonged ischemia
Signs & symptoms
Typical intense chest
pain for >20 min
classification
Subendocardial
NSTEMI
Transmural
STEMI
Complications
Arrhythmia
Heart failure
Cardiogenic shock
Is a condition in which
a suddenly weakened
heart isn't able to
pump enough blood to
meet the body's needs.
Signs &
symptoms
• Hypotension • Absence of
hypovolemia • Tachycardia
• Clinical signs of poor
perfusion
pathogenesis
Surgical management
Angioplasty
Percutaneous transluminal
coronary angioplasty
(PTCA) is a minimally
invasive procedure to open
up blocked coronary
arteries, allowing blood to
circulate unobstructed to
the myocardium.
Pharmacological
management
-nitrate -beta blocker or CCBs
-aspirin -Oxygen -(ACE) inhibitors
-Revascularization