ST elevation myocardial infarction gross pathology: Difference between revisions
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[[Image:Image15001.jpg|left|thumb|400px|Acute Myocardial infarction.]] | [[Image:Image15001.jpg|left|thumb|400px|Acute Myocardial infarction.]] | ||
[[Image:Image15533.jpg|left|thumb|400px|Myocardial infarction, fibrosis. Right Coronary Artery's territory.]] | [[Image:Image15533.jpg|left|thumb|400px|Myocardial infarction, fibrosis. Right Coronary Artery's territory.]] | ||
[[Image:Image15973.jpg|left|thumb|400px|Acute Myocardial infarction; Posterior wall.]] | [[Image:Image15973.jpg|left|thumb|400px|Acute Myocardial infarction; Posterior wall.]] | ||
[[Image:Image917.JPG|left|thumb|400px|Gross example of myocardial infarction that is several weeks or perhaps months of age.]] | [[Image:Image917.JPG|left|thumb|400px|Gross example of myocardial infarction that is several weeks or perhaps months of age.]] | ||
[[Image:Image919.JPG|left|thumb|400px|Acute myocardial infarction. Multi sliced view.]] | [[Image:Image919.JPG|left|thumb|400px|Acute myocardial infarction. Multi sliced view.]] | ||
[[Image:Image905.JPG|left|thumb|400px|Gross example of acute infarction in fixed heart. Lesion is reflow necrosis stone heart also has old scar. Multisliced view.]] | [[Image:Image905.JPG|left|thumb|400px|Gross example of acute infarction in fixed heart. Lesion is reflow necrosis stone heart also has old scar. Multisliced view.]] | ||
[[Image:Old MI.jpg|left|thumb|400px|Old myocardial infarction with fibrosis and apical thrombus.]] | [[Image:Old MI.jpg|left|thumb|400px|Old myocardial infarction with fibrosis and apical thrombus.]] | ||
[[Image:Old MI with fibrosis.jpg|left|thumb|400px|Old myocardial infarction with fibrosis.]] | [[Image:Old MI with fibrosis.jpg|left|thumb|400px|Old myocardial infarction with fibrosis.]] | ||
[[Image:AMI with epicardial fibrin.jpg|left|thumb|400px|Acute myocardial infarction with epicardial fibrin.]] | [[Image:AMI with epicardial fibrin.jpg|left|thumb|400px|Acute myocardial infarction with epicardial fibrin.]] | ||
[[Image:Ruptured MI.jpg|left|thumb|400px|Myocardial infarction and rupture.]] | [[Image:Ruptured MI.jpg|left|thumb|400px|Myocardial infarction and rupture.]] | ||
[[Image:MI and DM.jpg|left|thumb|400px|Myocardial infarction; free wall, 6 days old, in a patient with [[diabetes mellitus]] and [[hypertension]].]] | [[Image:MI and DM.jpg|left|thumb|400px|Myocardial infarction; free wall, 6 days old, in a patient with [[diabetes mellitus]] and [[hypertension]].]] | ||
[[Image:MI and DM 2.jpg|left|thumb|400px|Myocardial infarction free wall, 6 days old, in a patient with [[diabetes mellitus]] and [[hypertension]].]] | [[Image:MI and DM 2.jpg|left|thumb|400px|Myocardial infarction free wall, 6 days old, in a patient with [[diabetes mellitus]] and [[hypertension]].]] | ||
[[Image:Anterior surface in APMI.jpg|left|thumb|400px|Anterior surface of the heart in patient with acute posterior myocardial infarction.]] | [[Image:Anterior surface in APMI.jpg|left|thumb|400px|Anterior surface of the heart in patient with acute posterior myocardial infarction.]] | ||
[[Image:Posterior surface of APMI.jpg|left|thumb|400px|Posterior surface of the heart in patient with acute posterior myocardial infarction.]] | [[Image:Posterior surface of APMI.jpg|left|thumb|400px|Posterior surface of the heart in patient with acute posterior myocardial infarction.]] | ||
[[Image:Old MI with aneurysm.jpg|left|thumb|400px|Old myocardial infarction with aneurysm formation]] | [[Image:Old MI with aneurysm.jpg|left|thumb|400px|Old myocardial infarction with aneurysm formation]] | ||
[[Image:AMI mural thrombus 1.jpg|left|thumb|400px|Myocardial Infarction: Gross; Left ventricle; a mural thrombus.]] | [[Image:AMI mural thrombus 1.jpg|left|thumb|400px|Myocardial Infarction: Gross; Left ventricle; a mural thrombus.]] | ||
[[Image:AMI mural thrombus 2.jpg|left|thumb|400px|Myocardial Infarction: Gross; An excellent example of all ventricular slices in case of healing posterior and healed anterior myocardial infarction. A mural thrombus at apex.]] | [[Image:AMI mural thrombus 2.jpg|left|thumb|400px|Myocardial Infarction: Gross; An excellent example of all ventricular slices in case of healing posterior and healed anterior myocardial infarction. A mural thrombus at apex.]] | ||
[[Image:AMI mural thrombus 3.jpg|left|thumb|400px|Myocardial Infarction: Gross; A ventricular slice near apex; Large old anterior and posterior transmural infarctions with mural thrombosis. ]] | [[Image:AMI mural thrombus 3.jpg|left|thumb|400px|Myocardial Infarction: Gross; A ventricular slice near apex; Large old anterior and posterior transmural infarctions with mural thrombosis. ]] | ||
[[Image:Posterior wall aneurysm.jpg|left|thumb|400px|Myocardial Infarction: Gross; External view showing indented area represent small posterior wall aneurysm. ]] | [[Image:Posterior wall aneurysm.jpg|left|thumb|400px|Myocardial Infarction: Gross; External view showing indented area represent small posterior wall aneurysm. ]] | ||
[[Image:Anterior MI and aneurysm.jpg|left|thumb|400px|Myocardial Infarction: Gross; close-up view of anterior wall of left ventricle with dimpling due to aneurysm. Surrounding hyperemia indicates acute infarction.]] | [[Image:Anterior MI and aneurysm.jpg|left|thumb|400px|Myocardial Infarction: Gross; close-up view of anterior wall of left ventricle with dimpling due to aneurysm. Surrounding hyperemia indicates acute infarction.]] | ||
[[Image:Mural thrombus and healed MI.jpg|left|thumb|400px|Myocardial Infarction: Gross; healed lesion with mural thrombus (an excellent example)]] | [[Image:Mural thrombus and healed MI.jpg|left|thumb|400px|Myocardial Infarction: Gross; healed lesion with mural thrombus (an excellent example)]] | ||
[[Image:Myocardial infarct scar.jpg|left|thumb|400px|Myocardial Infarct Scar: Gross; natural color; very large old anterior infarct with wall thinning, mild aneurysm and endocardial thickening. A typical lesion.]] | [[Image:Myocardial infarct scar.jpg|left|thumb|400px|Myocardial Infarct Scar: Gross; natural color; very large old anterior infarct with wall thinning, mild aneurysm and endocardial thickening. A typical lesion.]] | ||
Revision as of 02:46, 26 February 2009
| Myocardial infarction | |
 | |
|---|---|
| Myocardial infarction, fibrosis. Right Coronary Artery's territory | |
| ICD-10 | I21-I22 |
| ICD-9 | 410 |
| DiseasesDB | 8664 |
| MedlinePlus | 000195 |
| eMedicine | med/1567 emerg/327 ped/2520 |
| Cardiology Network |
 Discuss ST elevation myocardial infarction gross pathology further in the WikiDoc Cardiology Network |
| Adult Congenital |
|---|
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| Cardiology General |
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| MRI |
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| Vascular Medicine |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]
Myocardial infarctions can be classified temporally from clinical and other features, as well as according to the pathological appearance as:[1]
- Evolving phase of myocardial infarction: (>6 hours),
- Acute phase of myocardial infarction: (6 hours – 7 days),
- Healing phase of myocardial infarction: (7–28 days),
- Healed phase of myocardial infarction: (29 days and beyond).
Time from Onset and Gross Morphologic Finding Relations
- 18 - 24 hours: Pallor of myocardium
- 24 - 72 hours: Pallor with some hyperemia
- 3 - 7 days: Hyperemic border with central yellowing
- 10 - 21 days: Maximally yellow and soft with vascular margins
- 7 weeks: White fibrosis
Gross Pathological Findings
References
External links
- The MD TV: Comments on Hot Topics, State of the Art Presentations in Cardiovascular Medicine, Expert Reviews on Cardiovascular Research
- Clinical Trial Results: An up to dated resource of Cardiovascular Research
- 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
- Heart Attack - overview of resources from MedlinePlus.
- Heart Attack Warning Signals from the Heart and Stroke Foundation of Canada
- Regional PCI for STEMI Resource Center - Evidence based online resource center for the development of regional PCI networks for acute STEMI
- STEMI Systems - Articles, profiles, and reviews of the latest publications involved in STEMI care. Quarterly newsletter.
- American College of Cardiology (ACC) Door to Balloon (D2B) Initiative.
- American Heart Association's Heart Attack web site - Information and resources for preventing, recognizing and treating heart attack.