Q&A

What is the difference between myocardial ischemia and myocardial infarction which one is reversible?

What is the difference between myocardial ischemia and myocardial infarction which one is reversible?

Ischemia is potentially reversible: if blood flow is restored or the oxygen demands of the heart are eased, the T waves will revert to normal. On the other hand, if actual myocardial cell death (true infarction) has occurred, T-wave inversion may persist for months to years.

How can you tell the difference between ischemia and infarction on ECG?

A zone of ischemia typically produces ST segment depression. A zone of injury produces ST segment elevation. A zone of infarction produces a large Q wave in the QRS complex.

What is the relation between ischemic heart disease myocardial infarction and heart failure?

Ischemic heart disease is the principal etiology of heart failure in the Western world. Myocardial ischemia is important in cardiac remodeling, a process that leads to a progressive change in the shape and size of the heart and significantly worsens the prognosis of patients with heart failure.

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What are the 2 major types of myocardial infarction and how are they different?

Type 1 MI is a primary coronary arterial event attributable to atherothrombotic plaque rupture or erosion. Type 2 MI occurs secondary to an acute imbalance in myocardial oxygen supply and demand without atherothrombosis.

What is the difference between ischemia and hypoxia?

Ischemia is insufficient blood flow to provide adequate oxygenation. This, in turn, leads to tissue hypoxia (reduced oxygen) or anoxia (absence of oxygen).

Is myocardial infarction the same as myocardial injury?

Specifically, myocardial injury is defined by at least 1 cardiac troponin concentration above the 99th percentile upper reference limit. Myocardial infarction is a form of myocardial injury but requires clinical evidence of acute myocardial ischemia.

Is myocardial infarction and ischemia the same?

Myocardial ischemia occurs when blood flow to the heart muscle (myocardium) is obstructed by a partial or complete blockage of a coronary artery by a buildup of plaques (atherosclerosis). If the plaques rupture, you can have a heart attack (myocardial infarction).

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What is the difference between ischemia and infarction?

Both terms, ischemia and infarction, are used here. Ischemia denotes diminished volume of perfusion, while infarction is the cellular response to lack of perfusion.

What is the difference between infarction and ischemia?

Both terms, ischemia and infarction, are used here. Ischemia denotes diminished volume of perfusion, while infarction is the cellular response to lack of perfusion. Some of the changes discussed here are the result of ischemia such as those involving myocardial substrate extraction.

Is ischemic heart disease the same as myocardial infarction?

Acute coronary syndrome (ACS, formerly called ischemic heart disease) refers to a large spectrum of clinical conditions including unstable angina, myocardial injury, and myocardial infarction (MI). ACS is caused by a sudden onset of cardiac tissue ischemia secondary to impaired blood flow.

What are the different types of myocardial ischemia?

A heart attack is also known as a myocardial infarction….The three types of heart attacks are:

  • ST segment elevation myocardial infarction (STEMI)
  • non-ST segment elevation myocardial infarction (NSTEMI)
  • coronary spasm, or unstable angina.

What is myocardial ischemia?

What are the 5 types of myocardial infarction?

Types of Myocardial Infarction. Type 2: Ischemic myocardial necrosis due to supply-demand mismatch, e.g. coronary spasm, embolism, low or high blood pressures, anemia, or arrhythmias . Type 4: Procedure related, post PCI or stent thrombosis ( cTr > 5X Decision Level). Type 5: Post CABG (cTr > 10X Decision Level).

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Is a myocardial infarction the same thing as a heart attack?

This is a heart attack, otherwise known as a myocardial infarction — literally, “death of heart muscle.”. Most heart attacks occur during several hours — so never wait to seek help if you think a heart attack is beginning.

What are the different types of myocardial infarction?

The Third Universal Definition of Myocardial Infarction has defined six Types of MI. The two most commonly encountered are Type 1 (STEMI and NSTEMI) primarily due to CAD and Type 2 primarily due to a condition other than CAD.

What is the mortality rate of myocardial infarction?

One in five men who had a first myocardial infarction died within 1 year, a mortality rate 14 times that of those free of coronary heart disease. In men who survived the 1st year, a recognized myocardial infarction increased risk of death over the next 5 years to 23 percent, four times that of the general population.