ST elevation myocardial infarction: Difference between revisions
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==[[ST elevation myocardial infarction overview|Overview]]== | ==[[ST elevation myocardial infarction overview|Overview]]== | ||
==[[ST | ==[[ST elevation myocardial infarction epidemiology and demographics | Epidemiology and Demographics]]== | ||
==Pathophysiology== | ==Pathophysiology== | ||
[[ST | [[ST elevation myocardial infarction pathophysiology|Pathophysiology of Vessel Occlusion]] | [[ST Elevation Myocardial Infarction: Pathophysiology of Reperfusion |Pathophysiology of Reperfusion]] | ||
==[[ST | ==[[ST elevation myocardial infarction risk factors|Risk Factors]]== | ||
==[[ST | ==[[ST elevation myocardial infarction triggers|Triggers]]== | ||
==[[ | ==[[ST elevation myocardial infarction differential diagnosis|Differential diagnosis of chest pain]]== | ||
==Diagnosis== | ==Diagnosis== | ||
[[ST | [[ST elevation myocardial infarction diagnosis|Diagnostic Criteria]] | [[ST elevation myocardial infarction history and symptoms|Symptoms]] | [[ST elevation myocardial infarction physical examination|Physical Examination]] | [[ST elevation myocardial infarction electrocardiogram|Electrocardiogram]] | [[ST elevation myocardial infarction coronary angiography|Coronary Angiography]] | [[ST elevation myocardial infarction gross pathology|Gross Pathology]] | [[ST elevation myocardial infarction histopathology|Histopathology]] | ||
==Treatment== | ==Treatment== | ||
===[[ST | ===[[ST elevation myocardial infarction pre-hospital care|Pre-Hospital Care]]=== | ||
===[[ST | ===[[ST elevation myocardial infarction initial care|Initial Care]]=== | ||
[[ST | [[ST elevation myocardial infarction oxygen therapy|Oxygen]] | [[ST elevation myocardial infarction nitrate therapy|Nitrates]] | [[ST elevation myocardial infarction analgesic rherapy|Analgesics]] | [[ST elevation myocardial infarction aspirin therapy|Aspirin]] | [[ST elevation myocardial infarction beta blocker therapy|Beta Blockers]] | [[ST elevation myocardial infarction anticoagulant and antithrombotic therapy|Antithrombins]] | [[Coronary care unit|The coronary care unit]] | [[Step Down Unit|The step down unit]] | ||
'''Pharmacologic Reperfusion''' | [[ST | '''Pharmacologic Reperfusion''' | [[ST elevation myocardial infarction reperfusion therapy|Reperfusion Therapy (Overview of Fibrinolysis and Primary PCI)]] | [[ST elevation myocardial infarction fibrinolytic therapy|Fibrinolysis]] | ||
'''Mechanical Reperfusion''' | [[Door-to-Balloon| The importance of reducing Door-to-Balloon times]] | [[ST | '''Mechanical Reperfusion''' | [[Door-to-Balloon| The importance of reducing Door-to-Balloon times]] | [[ST elevation myocardial infarction primary percutaneous coronary intervention|Primary PCI]] | [[ST elevation myocardial infarction percutaneous coronary intervention following fibrinolytic administration|Adjunctive and Rescue PCI]] | [[ST elevation myocardial infarction rescue percutaneous coronary intervention|Rescue PCI]] | | ||
[[ST elevation myocardial infarction facilitated percutaneous coronary intervention|Facilitated PCI]] | | [[ST elevation myocardial infarction facilitated percutaneous coronary intervention|Facilitated PCI]] | | ||
[[ST Elevation Myocardial Infarction Adjunctive Percutaneous Coronary Intervention|Adjunctive PCI]] | | [[ST Elevation Myocardial Infarction Adjunctive Percutaneous Coronary Intervention|Adjunctive PCI]] | | ||
[[ST | [[ST elevation myocardial infarction coronary artery bypass grafting|CABG]] | [[ST elevation myocardial infarction management of patients who were not reperfused|Management of Patients Who Were Not Reperfused]] | [[ST elevation myocardial infarction assessing success of reperfusion|Assessing Success of Reperfusion]] | ||
'''Antithrombin Therapy''' • [[ST elevation myocardial infarction anticoagulant and antithrombotic therapy|Antithrombin therapy]] • [[ST elevation myocardial infarction anticoagulant and antithrombotic therapy#Unfractionated Heparin|Unfractionated heparin]] • [[ST elevation myocardial infarction anticoagulant and antithrombotic therapy#Enoxaparin| Low Molecular Weight Heparinoid Therapy]] • [[ST elevation myocardial infarction anticoagulant and antithrombotic therapy#Bivalirudin| Direct Thrombin Inhibitor Therapy]] • [[ ST elevation myocardial infarction anticoagulant and antithrombotic therapy#Fondaparinux|Factor Xa Inhibition]] • [[ST elevation myocardial infarction deep vein thrombosis prophylaxis and anticoagulation|DVT prophylaxis]] • [[ST elevation myocardial infarction deep vein thrombosis prophylaxis and anticoagulation|Long term anticoagulation]] | '''Antithrombin Therapy''' • [[ST elevation myocardial infarction anticoagulant and antithrombotic therapy|Antithrombin therapy]] • [[ST elevation myocardial infarction anticoagulant and antithrombotic therapy#Unfractionated Heparin|Unfractionated heparin]] • [[ST elevation myocardial infarction anticoagulant and antithrombotic therapy#Enoxaparin| Low Molecular Weight Heparinoid Therapy]] • [[ST elevation myocardial infarction anticoagulant and antithrombotic therapy#Bivalirudin| Direct Thrombin Inhibitor Therapy]] • [[ ST elevation myocardial infarction anticoagulant and antithrombotic therapy#Fondaparinux|Factor Xa Inhibition]] • [[ST elevation myocardial infarction deep vein thrombosis prophylaxis and anticoagulation|DVT prophylaxis]] • [[ST elevation myocardial infarction deep vein thrombosis prophylaxis and anticoagulation|Long term anticoagulation]] | ||
'''Antiplatelet Agents''' | [[ST | '''Antiplatelet Agents''' | [[ST elevation myocardial infarction aspirin therapy|Aspirin]] | [[ST elevation myocardial infarction thienopyridine therapy|Thienopyridine Therapy]] | [[ST elevation myocardial infarction glycoprotein IIbIIIa inhibition|Glycoprotein IIbIIIa Inhibition]] | ||
'''Other Initial Therapy''' | [[ST | '''Other Initial Therapy''' | [[ST elevation myocardial infarction inhibition of the renin-angiotensin-aldosterone system|Inhibition of the Renin-Angiotensin-Aldosterone System]] | [[ST elevation myocardial infarction magnesium therapy|Magnesium Therapy]] | [[ST elevation myocardial infarction glucose control|Glucose Control]] | [[ST elevation myocardial infarction calcium channel blocker therapy|Calcium Channel Blocker Therapy]] | ||
==Discharge Care== | ==Discharge Care== | ||
[[ST | [[ST elevation myocardial infarction secondary prevention|Secondary Prevention]] | [[ST elevation myocardial infarction inhibition of the renin-angiotensin-aldosterone system at discharge|Inhibition of the Renin-Angiotensin-Aldosterone System]] | | ||
[[ST | [[ST elevation myocardial infarction cardiac rehabilitation|Cardiac Rehabilitation]] | [[ST elevation myocardial infarction prognosis|Prognosis]] | [[ST elevation myocardial infarction pacemaker implantation|Pacemaker Implantation]] | [[ST elevation myocardial infarction deep vein thrombosis prophylaxis and anticoagulation| Long term anticoagulation]] | ||
==Complications== | ==Complications== | ||
===[[ST | ===[[ST elevation myocardial infarction complications|Overview]]=== | ||
'''Ischemic Complications:''' [[Reinfarction]] | '''Ischemic Complications:''' [[Reinfarction]] | ||
Revision as of 19:18, 30 May 2012
For patient information click here
| Myocardial infarction | |
| ICD-10 | I21-I22 |
|---|---|
| ICD-9 | 410 |
| DiseasesDB | 8664 |
| MedlinePlus | 000195 |
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ST Elevation Myocardial Infarction Microchapters |
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Differentiating ST elevation myocardial infarction from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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ST elevation myocardial infarction On the Web |
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Directions to Hospitals Treating ST elevation myocardial infarction |
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Risk calculators and risk factors for ST elevation myocardial infarction |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Anne-Marie Anagnostopoulos, M.D.; Debanik Chaudhuri, M.D.; Robert Salazar, M.D.
Keywords and synonyms: AMI, STEMI, heart attack, MI, myocardial infarct, acute MI, coronary, coronary thrombosis
Overview
Epidemiology and Demographics
Pathophysiology
Pathophysiology of Vessel Occlusion | Pathophysiology of Reperfusion
Risk Factors
Triggers
Differential diagnosis of chest pain
Diagnosis
Diagnostic Criteria | Symptoms | Physical Examination | Electrocardiogram | Coronary Angiography | Gross Pathology | Histopathology
Treatment
Pre-Hospital Care
Initial Care
Oxygen | Nitrates | Analgesics | Aspirin | Beta Blockers | Antithrombins | The coronary care unit | The step down unit
Pharmacologic Reperfusion | Reperfusion Therapy (Overview of Fibrinolysis and Primary PCI) | Fibrinolysis
Mechanical Reperfusion | The importance of reducing Door-to-Balloon times | Primary PCI | Adjunctive and Rescue PCI | Rescue PCI | Facilitated PCI | Adjunctive PCI | CABG | Management of Patients Who Were Not Reperfused | Assessing Success of Reperfusion
Antithrombin Therapy • Antithrombin therapy • Unfractionated heparin • Low Molecular Weight Heparinoid Therapy • Direct Thrombin Inhibitor Therapy • Factor Xa Inhibition • DVT prophylaxis • Long term anticoagulation
Antiplatelet Agents | Aspirin | Thienopyridine Therapy | Glycoprotein IIbIIIa Inhibition
Other Initial Therapy | Inhibition of the Renin-Angiotensin-Aldosterone System | Magnesium Therapy | Glucose Control | Calcium Channel Blocker Therapy
Discharge Care
Secondary Prevention | Inhibition of the Renin-Angiotensin-Aldosterone System | Cardiac Rehabilitation | Prognosis | Pacemaker Implantation | Long term anticoagulation
Complications
Overview
Ischemic Complications: Reinfarction
Mechanical Complications:Cardiogenic shock | Left ventricular aneurysm | Myocardial rupture | Pseudoaneurysm | Papillary muscle rupture | Rupture of the ventricular septum
Arrhythmic Complications: Sudden cardiac death
Embolic Complications: Stroke | DVT
Pericarditis: Post myocardial infarction pericarditis | Dressler's syndrome
Related Chapters
- The Living Guidelines: STEMI
- In suggesting edits to the guidelines, WikiDoc suggests that the following classification scheme used by the ACC / AHA guidelines. Read more about the classification scheme used by the ACC / AHA Guidelines Committee here.
Disclaimer
Any recommendations found on these pages are for education use only. WikiDoc is not a substitute for a licensed healthcare provider. Please see the disclaimers page for important information regarding limitations of the information found here.
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 date 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 from MedlinePlus
- Heart Attack Warning Signals from the Heart and Stroke Foundation of Canada
- A Regional PCI and Resource Center for STEMI
- STEMI Systems' Quarterly newsletter
- American Heart Association's Heart Attack web site