Ischemic Heart Disease Flashcards

1
Q

what can be deduced about this picture?

can this lead to MI? why?

A

coronary artery with thrombus and clear rupture of atherosclerotic plaque

yes because the thrombus could occlude the vessel

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2
Q

what is happening here?

A

coronary artery with complete occlusion by thrombus

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3
Q

what is going on here?

A

fibrinous pericarditis

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4
Q

what is happening here?

A

contraction band necrosis after MI (due to angioplasty or fibrinolysis)

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5
Q

what is going on here?

A

MI of only the sub-endocardium

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6
Q

what is going on here?

A

rupture of papillary muscle post MI (day 4-7)

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7
Q

what is going on here?

A

rupture of free wall of ventricle (day 4 -7 after MI)

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8
Q

what is this?

A

mature plaque with central necrotic core and fibrous cap

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9
Q

what is this

A

mature plaque with central necrotic core and fibrous cap

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10
Q

what is this?

A

Acute myocardial infarct of the posterolateral left ven- tricle demonstrated by a lack of triphenyltetrazolium chloride staining in areas of necrosis (arrow)

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11
Q

what is this?

A

One-day-old infarct showing coagulative necrosis and wavy fibers, compared with adjacent normal fibers (at right)

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12
Q

what is this?

A

Dense neutrophilic infiltrate in the area of a 2- to 3-day-old infarct.

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13
Q

what is this?

A

Nearly complete removal of necrotic myocytes by phagocytic macrophages (7 to 10 days)

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14
Q

what is this?

A

Healed myocardial infarct consisting of a dense collagenous scar. A few residual cardiac muscle cells are present

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15
Q

what is wrong here?

A

Reperfusion injury

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16
Q

what is this?

A

Reperfused myocardial infarction

Hemorrhage and contraction bands, visible as prominent hypereosinophilic cross-striations spanning myofibers (arrow), are seen microscopically.

17
Q

what is going on here?

A

complication of MI (cardiac rupture)

Rupture of the Anterior free wall

18
Q

what is going on here?

A

MI complication (cardiac rupture)

Ventricular septal rupture

19
Q

what is going on here?

A

MI complication (cardiac rupture)

Papillary muscle rupture

20
Q

what is going on here?

A

MI complication (cardiac rupture)

Fibrinous pericarditis, with a hemorrhagic, roughened epicardial surface overlying an acute infarct.

21
Q

what is going on here?

A

Recent expansion of an anteroapical infarct with wall stretching and thinning (arrow) and mural thrombus

22
Q

what is going on here?

A

Large apical left ventricular aneurysm (arrow).

23
Q

what is this? and what is going on?

24
Q

in what day can we find this?

what is forming?

A

4-7 days

red granulation

white is area of infarction

25
what is the very white?
area of infarction
26
what is going on here?
lungs with edema after left heart failure
27
what is this?
cardiac tamponade
28
what is this?
cardiac tamponade
29
what is this?
cardiac tamponade
30
what is this?
mural thrombi
31
what is this?
mural thrombi
32
what is this?
fibrinous pericarditis
33