ST elevation myocardial infarction
For patient information click here
| Myocardial infarction | |
| ICD-10 | I21-I22 |
|---|---|
| ICD-9 | 410 |
| DiseasesDB | 8664 |
| MedlinePlus | 000195 |
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.
Keywords and synonyms: AMI, STEMI, heart attack, MI, myocardial infarct, acute MI, coronary, coronary thrombosis
Overview
Epidemiology and Demographics
Pathophysiology
Risk Factors
Triggers
Pathophysiology of Vessel Occlusion
Pathophysiology of Reperfusion
Diagnosis
Diagnosis, classification and biomarkers
Symptoms
Differential diagnosis of chest pain
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
See also
- 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
References
{{#vardefine:searchnews|{{#foreach:|{{{$n$}}}|}}} {{#vardefine:keywords|{{#foreach:|{{{$n$}}},}}} <keywords>{{#var:keywords}}</keywords>