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Home > West Medicine > Internal Medicine > Cardiology
I21.900x011

Myocardial Infarction

心内科

Common symptoms

心源性胸痛、胸痛伴胸闷、心悸、肢端发绀、胸痛、心肌坏死广泛、胸骨后疼痛、上腹部疼痛、心律失常、心脏左室舒张功能减退、胸闷气短

The pathology of disease

Myocardial infarction is myocardial necrosis due to prolonged ischemia from coronary occlusion (atherothrombosis), presenting with chest pain, ECG changes, and biomarker rise. It is classified as STEMI/NSTEMI. Treatment: urgent reperfusion (primary PCI preferred, fibrinolysis if not available); antiplatelets/anticoagulation; statin/beta-blocker/ACEi; manage complications; secondary prevention and cardiac rehab to reduce recurrence.

Common Symptoms

Chest pain/pressure; diaphoresis; dyspnea; ECG/troponin changes; by STEMI/NSTEMI

Causes and Pathogenesis

Coronary atherothrombosis causes prolonged ischemia and myocardial necrosis.

Treatment

Urgent reperfusion; DAPT/statin/BB/ACEi; manage complications; secondary prevention/rehab

Preventive Measures

Risk-factor control; antiplatelet/statin; cardiac rehab.

Department to Visit

It is recommended to visit the Cardiology/Emergency department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.