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| {{Infobox_Disease |
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| Name = Myocardial infarction|
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| Image = Myorupture.jpg|
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| Caption = Gross, Acute MI, external view of ruptured myocardial infarction near apex. <br> <small> [http://www.peir.net Image courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology] </small>
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| DiseasesDB = 8664 |
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| ICD10 = {{ICD10|I|21||i|20}}-{{ICD10|I|22||i|20}} |
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| ICD9 = {{ICD9|410}} |
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| ICDO = |
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| OMIM = |
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| MedlinePlus = 000195 |
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| eMedicineSubj = med |
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| eMedicineTopic = 1567 |
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| eMedicine_mult = {{eMedicine2|emerg|327}} {{eMedicine2|ped|2520}} |
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| MeshID = |
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| }}
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| {{SI}}
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| {{WikiDoc Cardiology Network Infobox}}
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| {{CMG}}
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| __NOTOC__ | | __NOTOC__ |
| '''Associate Editor-In-Chief:''' {{CZ}} and | | {{ST elevation myocardial infarction}} |
| | | {{CMG}}; '''Associate Editors-In-Chief:''' {{CZ}}; Michael W. Tempelhof M.D. Duke University |
| {{MWT}}
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| {{Editor Join}}
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| | ==Overview== |
| | ST elevation myocardial infarction can result in a number of complications. Complications are stratified into the following categories: ischemic, mechanical, arrythmic, embolic, and pericarditis. |
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| ==Ischemic Complications== | | ==Ischemic Complications== |
| | * [[Reinfarction]] |
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| | ==Mechanical Complications== |
| | * [[Cardiogenic shock]] |
| | * [[Left ventricular aneurysm]] |
| | * [[Myocardial rupture]] |
| | * [[Left ventricular aneurysm|Pseudoaneurysm]] |
| | * [[Rupture of the ventricular septum]] |
| | * [[Papillary muscle rupture]] |
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| ==Rupture of Ventricular Septum== | | ==Conduction Abnormalities== |
| | | * [[Atrial flutter]] |
| ===Pathological Findings===
| | * [[Postinfarction conduction abnormalities]] |
| Images shown below are courtesy of Professor Peter Anderson DVM PhD and published with permission. [http://www.peir.net © PEIR, University of Alabama at Birmingham, Department of Pathology]
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| <br>
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| <div align="left">
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| <gallery heights="175" widths="175">
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| Image:Ventricular septal rupture1.jpg|Heart, Acute MI, Ventricular septum rupture at posterior wall.
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| </gallery>
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| </div>
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| <br>
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| <div align="left">
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| <gallery heights="175" widths="175">
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| Image:AMISeptalrupture.jpg|Gross; acute myocardial infarction with ventricular septal rupture
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| </gallery>
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| </div>
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| <br>
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| <div align="left">
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| <gallery heights="175" widths="175">
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| Image:AMISeptalrupturecloseup.jpg|Acute MI, rupture of the ventricular septum. A close up view.
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| </gallery>
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| </div>
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| <br>
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| ==Mitral Regurgitation==
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| ==Myocardial Rupture==
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| {{Main|Myocardial rupture}}
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| ===Pathological Findings===
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| Images shown below are courtesy of Professor Peter Anderson DVM PhD and published with permission. [http://www.peir.net © PEIR, University of Alabama at Birmingham, Department of Pathology]
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| <div align="left">
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| <gallery heights="175" widths="175">
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| Image:Ruptured ALMI.jpg|Gross horizontal section of ruptured anterolateral infarct
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| Image:Myorupture.jpg|Gross, Acute MI, external view of ruptured myocardial infarction near apex
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| </gallery>
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| </div>
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| <div align="left">
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| <gallery heights="175" widths="175">
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| Image:Ruptured AMIwithpatch.jpg|Gross natural color external view of heart with repair patch over ruptured anterior infarction. A horizontal section of fixed ventricles
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| Image:Ruptured AMIwithpatch2.jpg|IAcute MI:Gross fixed tissue horizontal section ventricles. A large anterior infarct rupture with repair patch.
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| Image:Repairedacuterupture.jpg|Gross natural color close-up of apical patch repair of ruptured infarct seen from right ventricle side septal rupture
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| </gallery>
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| </div>
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| ==Pseudoaneurysm==
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| ==[[Aneurysm|Ventricular Aneurysm]]==
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| ===Pathological Findings===
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| Images shown below are courtesy of Professor Peter Anderson DVM PhD and published with permission. [http://www.peir.net © PEIR, University of Alabama at Birmingham, Department of Pathology]
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| <div align="left">
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| <gallery heights="175" widths="175">
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| Image:LV aneurysm1.jpg|Left Ventricle Aneurysm: Gross natural color horizontal section apex of left ventricle with aneurysmal dilation and mural thrombus. A large scar tissue in myocardium.
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| Image:LV aneurysm2.jpg|Left ventricular aneurysm.
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| Image:LV aneurysm3.jpg|Heart; old myocardial infarction with aneurysm formation
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| </gallery>
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| </div>
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| ==Left Ventricular Failure and Cardiogenic Schock==
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| ==Dynamic Left Ventricular Outflow Tract Obstruction==
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| ==Arrhythmic Complications== | | ==Arrhythmic Complications== |
| | * [[Sudden cardiac death]] |
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| ==Embolic Complications== | | ==Embolic Complications== |
| | | * [[Stroke]] |
| | * [[DVT]] |
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| ==Pericarditis== | | ==Pericarditis== |
| | | * [[Post myocardial infarction pericarditis]] |
| {{Main|Pericarditis}}
| | * [[Dressler's syndrome]] |
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| ==Pathological Findings==
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| Images shown below are courtesy of Professor Peter Anderson DVM PhD and published with permission. [http://www.peir.net © PEIR, University of Alabama at Birmingham, Department of Pathology]
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| <div align="left">
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| <gallery heights="175" widths="175">
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| Image:DMAMI1.jpg|Heart, [[acute myocardial infarction]], 6 days old, in a patient with [[diabetes mellitus]] and [[hypertension]]
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| Image:DMAMI2.jpg|Heart, [[acute myocardial infarction]], 6 days old, in a patient with [[diabetes mellitus]] and [[hypertension]]
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| </gallery>
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| </div>
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| <div align="left">
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| <gallery heights="175" widths="175">
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| Image:DMAMI3.jpg|Heart, [[acute myocardial infarction]], 6 days old, in a patient with [[diabetes mellitus]] and [[hypertension]]
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| Image:DMAMI4.jpg|Heart, [[acute myocardial infarction]], 6 days old, in a patient with [[diabetes mellitus]] and [[hypertension]]
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| </gallery>
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| </div>
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| <div align="left">
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| <gallery heights="175" widths="175">
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| Image:DMAMI5.jpg|Heart, [[acute myocardial infarction]], 6 days old, in a patient with [[diabetes mellitus]] and [[hypertension]]
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| Image:DMAMI6.jpg|Heart, [[acute myocardial infarction]], 6 days old, in a patient with [[diabetes mellitus]] and [[hypertension]]
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| </gallery>
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| </div>
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| <div align="left">
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| <gallery heights="175" widths="175">
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| Image:DMAMI7.jpg|Heart, [[acute myocardial infarction]], 6 days old, in a patient with [[diabetes mellitus]] and [[hypertension]]
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| Image:DMAMI8.jpg|Heart, [[acute myocardial infarction]], 6 days old, in a patient with [[diabetes mellitus]] and [[hypertension]]
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| </gallery>
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| </div>
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| ==See also==
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| * [[acute coronary syndrome]] | |
| * [[angina pectoris|angina]]
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| * [[Cardiac arrest]]
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| * [[coronary thrombosis]]
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| * [[Hibernating myocardium]]
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| * [[Stunned myocardium]]
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| * [[Ventricular remodeling]]
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| ==References== | | ==References== |
| {{reflist|2}} | | {{reflist|2}} |
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| ==External links==
| | [[Category:Disease]] |
| *[http://www.themdtv.org The MD TV: Comments on Hot Topics, State of the Art Presentations in Cardiovascular Medicine, Expert Reviews on Cardiovascular Research]
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| *[http://www.clinicaltrialresults.org Clinical Trial Results: An up to date resource of Cardiovascular Research]
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| *[http://hp2010.nhlbihin.net/atpiii/calculator.asp?usertype=pub 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]]
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| *[http://www.nlm.nih.gov/medlineplus/heartattack.html Heart Attack] - overview of resources from [[MedlinePlus]].
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| *[http://ww2.heartandstroke.ca/Page.asp?PageID=1975&ArticleID=5288 Heart Attack Warning Signals] from the Heart and Stroke Foundation of Canada
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| *[http://www.regionalpci-stemi.org/index.html Regional PCI for STEMI Resource Center] - Evidence based online resource center for the development of regional PCI networks for acute STEMI
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| *[http://www.stemisystems.org/ STEMI Systems] - Articles, profiles, and reviews of the latest publications involved in STEMI care. Quarterly newsletter.
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| *[http://d2b.acc.org/ American College of Cardiology (ACC) Door to Balloon (D2B) Initiative.]
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| *[http://www.americanheart.org/heartattack American Heart Association's Heart Attack web site] - Information and resources for preventing, recognizing and treating heart attack.
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| {{STEMI}}
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| [[Category:Cardiology]] | | [[Category:Cardiology]] |
| | [[Category:Ischemic heart diseases]] |
| | [[Category:Intensive care medicine]] |
| [[Category:Emergency medicine]] | | [[Category:Emergency medicine]] |
| | [[Category:Mature chapter]] |
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| {{WikiDoc Help Menu}} | | {{WikiDoc Help Menu}} |
| {{WikiDoc Sources}} | | {{WikiDoc Sources}} |