Acute Myocardial Infarction (AMI) CLINICAL PRESENTATION AND PHYSICAL FINDINGS

CLINICALFallot's Tetralogy Clinical features Symptoms Complications WITH Treatment. Read more ... » PRESENTATION

 

PRESENTATIONS OF IHD 1

Acute Myocardial Infarction is precipitated

Pain:

  • Pain is the most common and typical symptom of AMIAcute Myocardial Infarction (AMI) Causes PATHOPHYSIOLOGY and Etiology. Read more ... ».
  • There is very severe pain.
  • It is located in cen­tral portion of chest and sometimes epigastrium.
  • It radiates to Arms; Abdomen; Jaw; Back and Neck.
  • Pain may be present up to occiput or to umbilicus in front but not lower than umbilicus.
  • It is a deep pain.
  • It may be a severe discomfort, heavi­ness, squeezing, crushing pain.

Risk Factors

  • Diabetes mellitus
  • Dyslipidemia
  • Advanced age
  • Poorly controlled hypertension
  • Tobacco use
  • Family history of premature onset of coronary artery disease (CAD)
  • Sedentary lifestyle

Chest painApproach to Chest Pain Differential diagnosis of chest pain. Read more ... » is accompanied by :

Less Common presentations

 

  • Loss of consciousness Confusion
  • Extreme weakness Arrhythmia
  • Pulmonary embolism Falling Blood pressure.

Associated Conditions

  • Extracranial cerebrovascular disease
  • Abdominal aortic aneurysm
  • Atherosclerotic peripheral vascular disease

DIFFERENTIAL DIAGNOSISSecondary hypertension Renovascular hypertension. Read more ... »

PHYSICAL FINDINGS

  • Severe pain – Resulting in restless movements.
  • Pallor
  • Cold extremities Profuse sweating
  • Severe substernal pain for >30 minutes
  • In anterior infarction :
    • Tachycardia
    • Hypertension
  • In Inferior infarction:
    • Bradycardia
    • Hypotension

Precordium

  • Apical impulse difficult to palpate.
  • In Anterior wall M~ – dyskinetic bulge seen due to
  • ‘nfarcted myocardium-in periapical area.
  • S4 may be present S3 may be present
  • Decreased intensity of heart sound Paradoxical splitting of 2nd heart sound
  • Mid or late systolic murmur at apex due to MR due to dysfunction of Mitral valve apparatus. Pericardial friction rub.
  • Decreased cardiacCARDIAC TAMPONADE Causes with Physical findings and Treatment. Read more ... » pulsations-decreased stroke volume.
  • Temperature increased for a week.
  • Feeble apex beat and increased JVP is Seen in right ventricular infarction.
  • Systolic BP decreases by 10- 15 mmHg. –

ECG

LAB FINDINGS