MI Flashcards

1
Q

Changes seen in <4 hrs?

A

None

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2
Q

Risk at <4 hrs?

A

Cardiogenic shock (massive infarction), CHF, and arrhythmia

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3
Q

Dark discoloration?

A

4-24 hrs

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4
Q

Coagulative necrosis (RBCs on histo)?

A

4-24 hrs

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5
Q

Risk at 4-24 hrs?

A

Arrhythmia

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6
Q

Neutrophil infiltration?

A

1-3 days

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7
Q

Macrophage infiltration?

A

4-7 days

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8
Q

Risk after 1-3 days?

A

Fibrinous pericarditis–chest pain w/ friction rub

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9
Q

Yellow pallor?

A

1-3 days, 4-7 days

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10
Q

Risk of rupture of ventricular free wall leading to tamponade?

A

4-7 days

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11
Q

Risk of IV septum rupture leading to shunt?

A

4-7 days

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12
Q

Risk of papillary muscle rupture?

A

4-7 days

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13
Q

Phase when wall is weakest?

A

Macrophage phase: 4-7 days

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14
Q

Gross has red border with granulation tissue?

A

1-3 weeks

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15
Q

Histo shows fibroblasts, collagen, and blood vessels?

A

1-3 weeks

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16
Q

White scar?

A

Months–scar

17
Q

Risk of aneurysm?

A

Months

18
Q

Risk of mural thrombus?

A

Months

19
Q

Pericarditis appearing 6-8 weeks post-infarction?

A

Dressler’s

20
Q

2 complications of fibrinolysis/angioplasty?

A

Contraction band necrosis, and reperfusion injury

21
Q

Most sensitive/specific cardiac marker?

A

Troponin I

22
Q

Useful marker for detecting reinfarction days after MI?

A

CK-MB

23
Q

Anterior wall infarction?

A

V1-V4

24
Q

Anteroseptal wall infarction?

A

V1-V2

25
Q

Anterolateral wall infarction?

A

V4-V6

26
Q

Lateral wall infarction?

A

I, aVL

27
Q

Inferior wall infarction?

A

II, III, aVF