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Home > West Medicine > Surgery > Thoracic Surgery
I21.900

Acute Myocardial Infarction

心胸外科

Common symptoms

心肌坏死广泛、胸痛、官爵银、心肌细胞的浊肿、胸闷憋气、胸闷、手术时伤口不再出血、心房对心室收缩...、肌红蛋白偏高、心动过速、心肺栓塞

The pathology of disease

Acute myocardial infarction is myocardial necrosis from prolonged coronary ischemia, classified as STEMI (ST-elevation) or NSTEMI. Clinical: prolonged crushing chest pain radiating to arm/jaw, diaphoresis, dyspnea, ECG changes, and troponin rise. It is an emergency. Treatment: MONA (morphine/oxygen/nitrates/aspirin); urgent reperfusion - primary PCI within 90 min, or fibrinolysis if PCI unavailable; dual antiplatelet therapy, statin, beta-blocker, ACEi; manage complications (heart failure/arrhythmia/cardiogenic shock).

Common Symptoms

Prolonged crushing chest pain; radiation to arm/jaw; diaphoresis/dyspnea; ST changes/troponin rise; by STEMI/NSTEMI

Causes and Pathogenesis

Ruptured/erosured atherosclerotic plaque with coronary thrombosis causes myocardial necrosis.

Treatment

MONA; urgent primary PCI/fibrinolysis; DAPT/statin/BB/ACEi; manage complications

Preventive Measures

Risk-factor control; antiplatelet/statin; cardiac rehab; early recognition of chest pain.

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.