Acute MI Flashcards
Acute myocardial infarction also called as
Heart attack
Occurs when there is a diminished blood supply to the heart which leads to myocardial cell damage and ischemia.
MI
stops in the necrotic areas of
the heart.
Contractile fx
usually occurs due to blockage of the
coronary vessels.
Ischemia
is often the result of thrombus that is superimposed on an ulcerated or unstable atherosclerotic plaque formation in the coronary artery.
Ischemia
- MI’s are described by the area of occurrence.
Anterior, inferior, lateral, posterior
MI classification
Anatomic
Diagnostic
Anatomic
Transmural
Subendocardial
Diagnostic
ST Elevation (STEMI)
Non ST Elevation (Non STEMI)
Non modifiable risk factors
Age
Gender
Fam hx
Modifiable
Smoking
Htn
Dm
Obesity
S/sx
Chest pain
Nausea and vomiting
Cardiovascular changes
The most common initial manifestation
Chest pain
PQRST assessment
Precipitating events
Quality of pain
Radiation of pain
Severity of pain
Timing
results as a reflex from severe pain.
Vomitng
reflexes initiated from area of ischemia.
Vasovagal reflexes