Plain x-ray film The Basics of X-ray How X-ray works — Radiographic film before an image is taken is transparent and x-rays made it Darker by reactions, When a x-ray radiograph is taken,the X-rays reach the film and made it darken So , more X-rays reach an area of the...
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CLINICAL PRESENTATION Acute Myocardial Infarction is precipitated by exertion, exercise, emotional stress, medical and surgical disease and interventions. Circadian variation – AMI is more common in early morning hours due to increase in sympathetic tone and increased thrombolytic tendency from 4 to 12 AM. Acute myocardial infarction (AMI) is the...
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CARDIAC MARKERS IN MI Serum proteins released in blood from necrotic heart muscles after AMI are called serum markers . Creatinine phosphokinase (CK) Rises in 4 – 8 hours. Returns to normal in 48 – 72 hours. CK increased in : IM injections Stroke Surgery Trauma Skeletal muscle...
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CARDIAC IMAGING Very useful. 2D Echo RV infarction: diagnosed by Echo Ventricular aneurysm Pericardial effusion y LV thrombus Wall motion abnormalities are seen Old scars can also cause WMA Decreased LV function is indication for ACE inhibitor VSD MR is diagnosed easily. dobutamine stress echocardiography: noninvasive test for...
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MANAGEMENT of Acute Myocardial Infarction (AMI) MANAGEMENT Management involves Prompt attention and diagnosis. Reperfusion therapy Management of pain. MI is a medical emergency; Typical treatment for the patient includes: diagnosis and treatment should not be delayed. administering oxygen immediately, and giving aspirin and beta blockers, unless there are...
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REGIME FOR MANAGEMENT OF AMI Twelve lead ECG is done. Or If there is ST elevation more than 1 mm in any lead or 2 mm in V1′ V2 , In comparison, fibrinolytic therapy has largely not been effective in patients with a non-ST elevation MI (NSTEMI) then reperfusion...
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COMPLETE MANAGEMENT OF AMI Coronary Care Unit (CCU) Patients of AMI are admitted to CCU for monitoring of all vital parameters, management of arrhythmias, thrombolytic therapy. For more management-of-acute-myocardial-infarction-ami and acute-myocardial-infarction-management-regime-for-management-of-ami Sedation DiazeRam Lorazepam Reassurance Quiet surroundings. Diet Liquids for 1St 12 hours. Fat <30 % of total calories, carbohydrate...
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COMPLICATIONS OF AMI AND TREATMENT TRICULAR DYSFUNCTION RV INFARCTION RUPTURE OF FREE WALL CARDIOGENIC SHOCK VENTRICULAR SEPTAL DEFECT (VSD) MITRAL REGURGITATION (MR) 1. VENTRICULAR DYSFUNCTION Ventricular remodeling is a series of changes in shape, size and thickness of ventricular myocardium after infarction. This leads to global LV dysfunction...
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Ischemic Heart Disease (IHD) ischemic heart disease (IHO) is a disease of the heart due to a deficiency of supply of blood, oxygen and nutrients to the heart. Ischemic heart disease occurs when there is imbalance between supply (of blood, oxygen, nutrients) and demand (increased demand, less supply). Ischemic Heart...
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Ischemia Types Effects of Ischemia, Myocardial ischemia(MI) ECG ,vertebrobasilar ischemia and other metabolic changes A temporary deficiency of blood flow to an organ or tissue, Normal muscle contraction and relaxation affected Angina pectoris has been considered the cardinal symptom of myocardial ischemia for more than two centuries. LVF (left...
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