25. Ischemic Heart Disease- Myocardial Infarcion

Question 1

What is the definition of myocardial infarction?

Answer 1

irreversible death of myocardial cells caused by ischemic ??

Question 2

What are the symptoms?

Answer 2

• chest pain
• changes in laboratory findings
• changes in ECG

Question 3

How is the acute coronary syndrome categorised?

Answer 3

Non- ST elevation acute coronary syndrome
- elevation ST-segment (unstable angina)
- non-stemi myocardial infarction
???

Question 4

What are the types of myocardial infarction?

Answer 4

• type 1
• type 2
• type 3
• type 4
  
  • type 4a
  • type 4b
  • type 4c
• type 5

Question 5

What is the etiology of a myocardial infarction?

Answer 5

any condition that causes occlusion of the coronary arteries, reduces myocardial oxygen supply or increase oxygen demand

• Coronary artery disease (most common cause)
• Coronary artery vasospasm
• Coronary artery embolism

Question 6

What is the clinical presentation?

Answer 6

Typical:

• dull, squeezing acute retroternal chest pain that radiates to left arm, shoulder, neck, jaw or epigastrium
• anxiety
• dizziness
• nausea
• back pain
• sweating
• irregular heart rate
• dyspnea

Question 7

What will the examination be like?

Answer 7

• check vital signs
  
  • irregular heart rate and pulse possible
• ???