|
|
| (22 intermediate revisions by 4 users not shown) |
| Line 1: |
Line 1: |
| {{Infobox_Disease |
| |
| Name = Myocardial infarction|
| |
| Image = Myorupture.jpg|
| |
| Caption = Gross, Acute MI, external view of ruptured myocardial infarction near apex. <br> <small> [http://www.peir.net Image courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology] </small>
| |
| |
| |
| DiseasesDB = 8664 |
| |
| ICD10 = {{ICD10|I|21||i|20}}-{{ICD10|I|22||i|20}} |
| |
| ICD9 = {{ICD9|410}} |
| |
| ICDO = |
| |
| OMIM = |
| |
| MedlinePlus = 000195 |
| |
| eMedicineSubj = med |
| |
| eMedicineTopic = 1567 |
| |
| eMedicine_mult = {{eMedicine2|emerg|327}} {{eMedicine2|ped|2520}} |
| |
| MeshID = |
| |
| }}
| |
| {{SI}}
| |
| {{WikiDoc Cardiology Network Infobox}}
| |
| {{CMG}}
| |
| __NOTOC__ | | __NOTOC__ |
| '''Associate Editor-In-Chief:''' {{CZ}} and | | {{ST elevation myocardial infarction}} |
| | | {{CMG}}; '''Associate Editors-In-Chief:''' {{CZ}}; Michael W. Tempelhof M.D. Duke University |
| {{MWT}}
| |
| | |
| {{Editor Join}}
| |
|
| |
|
| | ==Overview== |
| | ST elevation myocardial infarction can result in a number of complications. Complications are stratified into the following categories: ischemic, mechanical, arrythmic, embolic, and pericarditis. |
|
| |
|
| ==Ischemic Complications== | | ==Ischemic Complications== |
| [[Reinfarction]] | | * [[Reinfarction]] |
|
| |
|
| ==Mechanical Complications== | | ==Mechanical Complications== |
| [[Myocardial rupture]] including rupture of the ventricular septum | | * [[Cardiogenic shock]] |
| | * [[Left ventricular aneurysm]] |
| | * [[Myocardial rupture]] |
| | * [[Left ventricular aneurysm|Pseudoaneurysm]] |
| | * [[Rupture of the ventricular septum]] |
| | * [[Papillary muscle rupture]] |
|
| |
|
| ===Pathological Findings=== | | ==Conduction Abnormalities== |
| Images shown below are courtesy of Professor Peter Anderson DVM PhD and published with permission. [http://www.peir.net © PEIR, University of Alabama at Birmingham, Department of Pathology]
| | * [[Atrial flutter]] |
| <br>
| | * [[Postinfarction conduction abnormalities]] |
| <div align="left">
| |
| <gallery heights="175" widths="175">
| |
| Image:Ventricular septal rupture1.jpg|Heart, Acute MI, Ventricular septum rupture at posterior wall.
| |
| </gallery>
| |
| </div>
| |
| <br>
| |
| <div align="left">
| |
| <gallery heights="175" widths="175">
| |
| Image:AMISeptalrupture.jpg|Gross; acute myocardial infarction with ventricular septal rupture
| |
| </gallery>
| |
| </div>
| |
| <br>
| |
| <div align="left">
| |
| <gallery heights="175" widths="175">
| |
| Image:AMISeptalrupturecloseup.jpg|Acute MI, rupture of the ventricular septum. A close up view.
| |
| </gallery>
| |
| </div>
| |
| <br>
| |
| | |
| ==Mitral Regurgitation==
| |
| | |
| ==Myocardial Rupture==
| |
| | |
| {{Main|Myocardial rupture}}
| |
| | |
| ===Pathological Findings===
| |
| Images shown below are courtesy of Professor Peter Anderson DVM PhD and published with permission. [http://www.peir.net © PEIR, University of Alabama at Birmingham, Department of Pathology]
| |
| | |
| | |
| <div align="left">
| |
| <gallery heights="175" widths="175">
| |
| Image:Ruptured ALMI.jpg|Gross horizontal section of ruptured anterolateral infarct
| |
| Image:Myorupture.jpg|Gross, Acute MI, external view of ruptured myocardial infarction near apex
| |
| </gallery>
| |
| </div>
| |
| | |
| | |
| <div align="left">
| |
| <gallery heights="175" widths="175">
| |
| Image:Ruptured AMIwithpatch.jpg|Gross natural color external view of heart with repair patch over ruptured anterior infarction. A horizontal section of fixed ventricles
| |
| Image:Ruptured AMIwithpatch2.jpg|IAcute MI:Gross fixed tissue horizontal section ventricles. A large anterior infarct rupture with repair patch.
| |
| Image:Repairedacuterupture.jpg|Gross natural color close-up of apical patch repair of ruptured infarct seen from right ventricle side septal rupture
| |
| </gallery>
| |
| </div>
| |
| | |
| ==Pseudoaneurysm==
| |
| | |
| ==[[Aneurysm|Ventricular Aneurysm]]==
| |
| | |
| | |
| ===Pathological Findings===
| |
| Images shown below are courtesy of Professor Peter Anderson DVM PhD and published with permission. [http://www.peir.net © PEIR, University of Alabama at Birmingham, Department of Pathology]
| |
| | |
| | |
| <div align="left">
| |
| <gallery heights="175" widths="175">
| |
| Image:LV aneurysm1.jpg|Left Ventricle Aneurysm: Gross natural color horizontal section apex of left ventricle with aneurysmal dilation and mural thrombus. A large scar tissue in myocardium.
| |
| Image:LV aneurysm2.jpg|Left ventricular aneurysm.
| |
| Image:LV aneurysm3.jpg|Heart; old myocardial infarction with aneurysm formation
| |
| </gallery>
| |
| </div>
| |
| | |
| ==Left Ventricular Failure and Cardiogenic Schock==
| |
| | |
| ==Dynamic Left Ventricular Outflow Tract Obstruction==
| |
|
| |
|
| ==Arrhythmic Complications== | | ==Arrhythmic Complications== |
| | * [[Sudden cardiac death]] |
|
| |
|
| ==Embolic Complications== | | ==Embolic Complications== |
| | | * [[Stroke]] |
| | * [[DVT]] |
|
| |
|
| ==Pericarditis== | | ==Pericarditis== |
| | | * [[Post myocardial infarction pericarditis]] |
| {{Main|Pericarditis}}
| | * [[Dressler's syndrome]] |
| | |
| ==Pathological Findings==
| |
| Images shown below are courtesy of Professor Peter Anderson DVM PhD and published with permission. [http://www.peir.net © PEIR, University of Alabama at Birmingham, Department of Pathology]
| |
| | |
| | |
| <div align="left">
| |
| <gallery heights="175" widths="175">
| |
| Image:DMAMI1.jpg|Heart, [[acute myocardial infarction]], 6 days old, in a patient with [[diabetes mellitus]] and [[hypertension]]
| |
| Image:DMAMI2.jpg|Heart, [[acute myocardial infarction]], 6 days old, in a patient with [[diabetes mellitus]] and [[hypertension]]
| |
| </gallery>
| |
| </div>
| |
| | |
| | |
| <div align="left">
| |
| <gallery heights="175" widths="175">
| |
| Image:DMAMI3.jpg|Heart, [[acute myocardial infarction]], 6 days old, in a patient with [[diabetes mellitus]] and [[hypertension]]
| |
| Image:DMAMI4.jpg|Heart, [[acute myocardial infarction]], 6 days old, in a patient with [[diabetes mellitus]] and [[hypertension]]
| |
| </gallery>
| |
| </div>
| |
| | |
| | |
| <div align="left">
| |
| <gallery heights="175" widths="175">
| |
| Image:DMAMI5.jpg|Heart, [[acute myocardial infarction]], 6 days old, in a patient with [[diabetes mellitus]] and [[hypertension]]
| |
| Image:DMAMI6.jpg|Heart, [[acute myocardial infarction]], 6 days old, in a patient with [[diabetes mellitus]] and [[hypertension]]
| |
| </gallery>
| |
| </div>
| |
| | |
| | |
| <div align="left">
| |
| <gallery heights="175" widths="175">
| |
| Image:DMAMI7.jpg|Heart, [[acute myocardial infarction]], 6 days old, in a patient with [[diabetes mellitus]] and [[hypertension]]
| |
| Image:DMAMI8.jpg|Heart, [[acute myocardial infarction]], 6 days old, in a patient with [[diabetes mellitus]] and [[hypertension]]
| |
| </gallery>
| |
| </div>
| |
| | |
| ==See also==
| |
| * [[acute coronary syndrome]] | |
| * [[angina pectoris|angina]]
| |
| * [[Cardiac arrest]]
| |
| * [[coronary thrombosis]]
| |
| * [[Hibernating myocardium]]
| |
| * [[Stunned myocardium]]
| |
| * [[Ventricular remodeling]]
| |
| | |
| ==Sources==
| |
| *The 2004 ACC/AHA Guidelines for the Management of Patients With ST-Elevation Myocardial Infarction <ref name="pmid15339869">{{cite journal |author=Antman EM, Anbe DT, Armstrong PW, Bates ER, Green LA, Hand M, Hochman JS, Krumholz HM, Kushner FG, Lamas GA, Mullany CJ, Ornato JP, Pearle DL, Sloan MA, Smith SC, Alpert JS, Anderson JL, Faxon DP, Fuster V, Gibbons RJ, Gregoratos G, Halperin JL, Hiratzka LF, Hunt SA, Jacobs AK |title=ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the 1999 Guidelines for the Management of Patients with Acute Myocardial Infarction) |journal=Circulation |volume=110 |issue=9 |pages=e82–292 |year=2004 |month=August |pmid=15339869 |doi= |url=http://circ.ahajournals.org/cgi/pmidlookup?view=long&pmid=15339869}}</ref>
| |
| | |
| *The 2007 Focused Update of the ACC/AHA 2004 Guidelines for the Management of Patients with ST-Elevation Myocardial Infarction <ref name="pmid18071078">{{cite journal |author=Antman EM, Hand M, Armstrong PW, ''et al'' |title=2007 Focused Update of the ACC/AHA 2004 Guidelines for the Management of Patients With ST-Elevation Myocardial Infarction: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines: developed in collaboration With the Canadian Cardiovascular Society endorsed by the American Academy of Family Physicians: 2007 Writing Group to Review New Evidence and Update the ACC/AHA 2004 Guidelines for the Management of Patients With ST-Elevation Myocardial Infarction, Writing on Behalf of the 2004 Writing Committee |journal=Circulation |volume=117 |issue=2 |pages=296–329 |year=2008 |month=January |pmid=18071078 |doi=10.1161/CIRCULATIONAHA.107.188209 |url=}}</ref>
| |
|
| |
|
| ==References== | | ==References== |
| {{reflist|2}} | | {{reflist|2}} |
|
| |
|
| ==External links==
| | [[Category:Disease]] |
| *[http://www.themdtv.org The MD TV: Comments on Hot Topics, State of the Art Presentations in Cardiovascular Medicine, Expert Reviews on Cardiovascular Research]
| |
| *[http://www.clinicaltrialresults.org Clinical Trial Results: An up to date resource of Cardiovascular Research]
| |
| *[http://hp2010.nhlbihin.net/atpiii/calculator.asp?usertype=pub Risk Assessment Tool for Estimating Your 10-year Risk of Having a Heart Attack] - based on information of the [[Framingham Heart Study]], from the United States [[National Heart, Lung and Blood Institute]]
| |
| *[http://www.nlm.nih.gov/medlineplus/heartattack.html Heart Attack] - overview of resources from [[MedlinePlus]].
| |
| *[http://ww2.heartandstroke.ca/Page.asp?PageID=1975&ArticleID=5288 Heart Attack Warning Signals] from the Heart and Stroke Foundation of Canada
| |
| *[http://www.regionalpci-stemi.org/index.html Regional PCI for STEMI Resource Center] - Evidence based online resource center for the development of regional PCI networks for acute STEMI
| |
| *[http://www.stemisystems.org/ STEMI Systems] - Articles, profiles, and reviews of the latest publications involved in STEMI care. Quarterly newsletter.
| |
| *[http://d2b.acc.org/ American College of Cardiology (ACC) Door to Balloon (D2B) Initiative.]
| |
| *[http://www.americanheart.org/heartattack American Heart Association's Heart Attack web site] - Information and resources for preventing, recognizing and treating heart attack.
| |
| | |
| {{STEMI}}
| |
| {{SIB}}
| |
| [[Category:Cardiology]] | | [[Category:Cardiology]] |
| | [[Category:Ischemic heart diseases]] |
| | [[Category:Intensive care medicine]] |
| [[Category:Emergency medicine]] | | [[Category:Emergency medicine]] |
| | [[Category:Mature chapter]] |
|
| |
|
| {{WikiDoc Help Menu}} | | {{WikiDoc Help Menu}} |
| {{WikiDoc Sources}} | | {{WikiDoc Sources}} |