Faint pattern in AMI smoothly

Aug 6th, 2022
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How to Faint pattern in AMI

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all right welcome folks my name is omelet matu im a faculty member at university of maryland school of medicine and were going to spend a little time talking about syncope formal title for the faint of heart actually this is for all of you regardless of how your hearts feel were going to spend some time talking about cardiogenic syncope theres a lot of different things that cause syncope were going to focus on the cardiac causes now this actually is going to be a visual diagnosis lecture this is an ekg lecture i know many of you have probably heard a lot of lectures on syncope over the years and theres been a lot of literature and research has come out which has really taught us all that we especially in the united states we have a tendency to admit too many patients with syncope who get negative workups and we spend a lot of money and those patients can probably just get outpatient workups we know that weve come to realize that in terms of the workup in the emergency departmen

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What are the symptoms of heart attack? Chest pain or discomfort. Feeling weak, light-headed, or faint. Pain or discomfort in the jaw, neck, or back. Pain or discomfort in one or both arms or shoulders. Shortness of breath.
Non‐reperfused MI shows typical ischaemic coagulative necrosis. During the first 3040 minutes of ischaemia, the changes are visible only at electron microscopy and are reversible. The macroscopic appearance depends on the interval of time between the onset of MI and death.
Acute myocardial infarction with rupture, gross. Acute myocardial infarction with rupture and tamponade, gross. Intermediate (healing) myocardial infarction (1 - 2 weeks), microscopic. Remote myocardial infarction (3 to 4 weeks), microscopic.
Many conditions can cause coagulative necrosis in different areas of your body. One example in which coagulative necrosis occurs is a heart attack (myocardial infarction). During a heart attack, one or more coronary arteries that carry blood to your heart become blocked.
[Myocardial necrosis in chronic course of ischemic heart disease]
Biochemical indicators of myocardial necrosis are troponins T or I, the concentration considered as determining necrosis is that exceeding at least one value above the upper reference limit (99th percentile of the values for a reference control group) on at least one occasion during the first 24 h after the index
Adapted from Newby et al. 6 ACS: acute coronary syndrome; AMI: acute myocardial infarction; CAD: coronary artery disease; CHF: congestive heart failure; CM: cardiomyopathy; CT: cardiothoracic; PCI: percutaneous coronary intervention; PE: pulmonary embolism; STEMI: ST-segment elevation myocardial infarction.
Coagulative necrosis is the cell death that occurs due to ischemia, leading to denaturation of structural proteins. It is the first change that occurs in a cell after an MI. After the necrosis, neutrophilic influx is seen in around 12 to 24 hours.

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