Clear up pattern in AMI

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Aug 6th, 2022
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How to clear up pattern in AMI

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In the first hours and days after the onset of a myocardial infarction, several changes can be observed on the ECG. First, large peaked T waves (or hyperacute T waves), then ST elevation, then negative T waves and finally pathologic Q waves develop.
Primary complications of AMI include the following: New-onset mitral regurgitation. Ventricular septal rupture. Left ventricular aneurysm. Arrhythmias. Emboli.
The ECG findings of an acute anterior myocardial infarction wall include: ST segment elevation in the anterior leads (V3 and V4) at the J point and sometimes in the septal or lateral leads, depending on the extent of the MI. This ST segment elevation is concave downward and frequently overwhelms the T wave.
Symptoms Chest pain that may feel like pressure, tightness, pain, squeezing or aching. Pain or discomfort that spreads to the shoulder, arm, back, neck, jaw, teeth or sometimes the upper belly. Cold sweat. Fatigue. Heartburn or indigestion. Lightheadedness or sudden dizziness. Nausea. Shortness of breath.
Four stages of progressively worsening myocardial tissue injury are identified: (1) aborted MI (no/minimal myocardial necrosis); (2) MI with docHub cardiomyocyte necrosis, but without microvascular injury; (3) cardiomyocyte necrosis and microvascular dysfunction leading to microvascular obstruction (ie, no-reflow
Clinically, MI is a syndrome that can be recognized by a set of symptoms, chest pain being the hallmark of these symptoms in most cases, supported by biochemical laboratory changes, electrocardiographic (ECG) changes, or findings on imaging modalities able to detect myocardial injury and necrosis.
Aborted MI (no or minimal myocardial necrosis). MI with docHub cardiomyocyte necrosis but without microvascular injury. Cardiomyocyte necrosis and microvascular dysfunction leading to microvascular obstruction (that is, no-reflow). Cardiomyocyte and microvascular necrosis leading to reperfusion hemorrhage.
Acute myocardial infarction with rupture and tamponade, gross. Intermediate (healing) myocardial infarction (1 - 2 weeks), microscopic. Remote myocardial infarction (3 to 4 weeks), microscopic. Remote myocardial infarction (2 months), microscopic.

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