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Classification of Myocardial InfarctionĪccording to the Fourth Universal Definition of Myocardial Infarction (MI), an MI is defined as an acute myocardial injury accompanied by symptoms of myocardial ischemia, signs of ischemia on an ECG or evidence of a new regional wall motion abnormality. ST Segment Elevation Myocardial InfarctionĪnginal symptoms/chest pain at rest associated with myocardial necrosis, indicated by elevated cardiac biomarkers (see Cardiac Enzymes Topic Review) and ST segment elevation on the 12-lead ECG. ECG changes may include ST and T-wave abnormalities. Non-ST Segment Elevation Myocardial InfarctionĪnginal symptoms/chest pain at rest that result in myocardial necrosis as identified by elevated cardiac biomarkers (see Cardiac Enzymes Topic Review) without ST segment elevation on the 12-lead ECG. With unstable angina, cardiac enzymes remain normal or are only very minimally elevated. Anginal symptoms at rest, that occur without physical exertion.Previously stable exertional angina that now occurs with less physical exertion.Angina is considered unstable when it first occurs.
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One minute cure for all diseases review series#
The common pathophysiology in ACS occurs when an atherosclerotic coronary plaque becomes unstable, leading to a series of events that eventually results in partial or total thrombotic occlusion of an epicardial coronary artery. The differences between the three types of ACS are discussed below. The terms “transmural,” “non-transmural,” “Q wave MI” and “non-Q wave MI” have fallen out of favor.
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The acute coronary syndromes include unstable angina, non-ST segment elevation myocardial infarction and ST segment elevation myocardial infarction. Medical Therapy | Special Situations Introduction.Pathophysiology | Physical Examination | Diagnosis | Symptoms | Treatment – Prevention Coronary Artery Disease - Unstable Angina/Non-STEMI Topic Review