Ischemic Heart Disease

Question 1

what can be deduced about this picture?

can this lead to MI? why?

Answer 1

coronary artery with thrombus and clear rupture of atherosclerotic plaque

yes because the thrombus could occlude the vessel

Question 2

what is happening here?

Answer 2

coronary artery with complete occlusion by thrombus

Question 3

what is going on here?

Answer 3

fibrinous pericarditis

Question 4

what is happening here?

Answer 4

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

Question 5

what is going on here?

Answer 5

MI of only the sub-endocardium

Question 6

what is going on here?

Answer 6

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

Question 7

what is going on here?

Answer 7

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

Question 8

what is this?

Answer 8

mature plaque with central necrotic core and fibrous cap

Question 9

what is this

Answer 9

mature plaque with central necrotic core and fibrous cap

Question 10

what is this?

Answer 10

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

Question 11

what is this?

Answer 11

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

Question 12

what is this?

Answer 12

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

Question 13

what is this?

Answer 13

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

Question 14

what is this?

Answer 14

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

Question 15

what is wrong here?

Answer 15

Reperfusion injury

Question 16

what is this?

Answer 16

Reperfused myocardial infarction

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

Question 17

what is going on here?

Answer 17

complication of MI (cardiac rupture)

Rupture of the Anterior free wall

Question 18

what is going on here?

Answer 18

MI complication (cardiac rupture)

Ventricular septal rupture

Question 19

what is going on here?

Answer 19

MI complication (cardiac rupture)

Papillary muscle rupture

Question 20

what is going on here?

Answer 20

MI complication (cardiac rupture)

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

Question 21

what is going on here?

Answer 21

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

Question 22

what is going on here?

Answer 22

Large apical left ventricular aneurysm (arrow).

Question 23

what is this? and what is going on?

Answer 23

Question 24

in what day can we find this?

what is forming?

Answer 24

4-7 days

red granulation

white is area of infarction

Question 25

what is the very white?

Answer 25

area of infarction

Question 26

what is going on here?

Answer 26

lungs with edema after left heart failure

Question 27

what is this?

Answer 27

cardiac tamponade

Question 28

what is this?

Answer 28

cardiac tamponade

Question 29

what is this?

Answer 29

cardiac tamponade

Question 30

what is this?

Answer 30

mural thrombi

Question 31

what is this?

Answer 31

mural thrombi

Question 32

what is this?

Answer 32

fibrinous pericarditis