myocardial infarction

Descrição

Mapa Mental sobre myocardial infarction, criado por rama ibrahim em 30-09-2017.
rama ibrahim
Mapa Mental por rama ibrahim, atualizado more than 1 year ago
rama ibrahim
Criado por rama ibrahim aproximadamente 8 anos atrás
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Resumo de Recurso

myocardial infarction
  1. chest pain
    1. heart problems
      1. lung problems
        1. gastrointestinal problems
          1. anxiety/panic attack
          2. angina
            1. chest pain or discomfort
              1. symptom of heart disease
                1. caused by reduced oxygen in the blood in the heart
                  1. types
                    1. typical/stable
                      1. on exertion
                        1. <20 min
                          1. 70% atherosclerosis
                            1. reversible
                              1. ST segment depression
                                1. relieved by rest/nitrates
                                2. prinzmetal/variant
                                  1. unrelated to exertion
                                    1. due to coronary vasospasm
                                      1. reversible injury
                                        1. ST segment elevation
                                          1. relieved by nitrates/calcium-channel blockers
                                          2. unstable/crescendo
                                            1. occurs at rest
                                              1. due to acute plaque changes
                                                1. reversible injury
                                                  1. ST segment depression
                                                    1. relieved by nitrates
                                                      1. high risk of progression to MI
                                                    2. emergency treatment
                                                      1. morphine
                                                        1. oxygen
                                                          1. nitrates
                                                            1. aspirin
                                                          2. types of MI
                                                            1. subendocardial injury
                                                              1. ST depression
                                                              2. transmural injury
                                                                1. ST elevation
                                                                2. signs and sypmtoms
                                                                  1. chest discomfort
                                                                    1. trouble breathing
                                                                      1. feeling faint
                                                                        1. sick or discomfort in stomach
                                                                        2. gross and microscopic findings of MI
                                                                          1. 0-24 hrs
                                                                            1. no gross changes
                                                                              1. coagulation necrosis present within 12-24 hrs
                                                                                1. nenutrofils begin to enter
                                                                                2. 1-3 days
                                                                                  1. pallor of infarcted tissue
                                                                                    1. myocyte nuclei and striations disappear
                                                                                      1. neutrophils are abundant and lyse the dead myocardial cells
                                                                                      2. 3-7 days
                                                                                        1. red granulation tissue
                                                                                          1. macrophages begin to remove necrotic debris
                                                                                          2. 7-10 days
                                                                                            1. necrotic area is brightly yellow
                                                                                              1. granulation tissue and collagen are well developed
                                                                                              2. during 2 months
                                                                                                1. white patchy noncontractile scar
                                                                                              3. investigations
                                                                                                1. ECG
                                                                                                  1. lipid profile
                                                                                                    1. chest x-ray
                                                                                                      1. pulmonary edema
                                                                                                        1. left ventricular hypertrophy
                                                                                                        2. blood test
                                                                                                          1. biomarkers
                                                                                                            1. echocardiogram
                                                                                                              1. uses ultrasound
                                                                                                              2. coronary angiography
                                                                                                                1. uses special dyes and x-rays
                                                                                                              3. complications
                                                                                                                1. arrhythmia
                                                                                                                  1. cardiogenic shock
                                                                                                                    1. thromosis
                                                                                                                      1. acute pericarditis
                                                                                                                        1. rupture
                                                                                                                          1. cardiac tamponade
                                                                                                                            1. dressler syndrome
                                                                                                                              1. ventricular aneurysm
                                                                                                                              2. risk factors of MI
                                                                                                                                1. age
                                                                                                                                  1. smpking
                                                                                                                                    1. high BP
                                                                                                                                      1. high cholesterol/ TG/ LDL
                                                                                                                                        1. diabetes
                                                                                                                                          1. family history
                                                                                                                                            1. lack of physical activity
                                                                                                                                              1. obesity
                                                                                                                                                1. stress
                                                                                                                                                  1. illegal drug use
                                                                                                                                                    1. preeclampsia
                                                                                                                                                      1. autoimmune condition
                                                                                                                                                      2. treatment of MI
                                                                                                                                                        1. aspirin/heparin
                                                                                                                                                          1. oxygen
                                                                                                                                                            1. nitrates
                                                                                                                                                              1. ACE inhibitors
                                                                                                                                                                1. fibrinolysis/angioplasty
                                                                                                                                                                  1. surgical
                                                                                                                                                                    1. coronary angioplasty
                                                                                                                                                                    2. psychological/ lifestyle changes
                                                                                                                                                                      1. support groups

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