Overview
Definition
Myocardial necrosis resulting from acute obstruction of a coronary artery.
Epidemiology
Major cause of morbidity/mortality.
Etiology & Risk Factors
- Plaque rupture
- Coronary thrombosis
Clinical Symptoms
- Crushing chest pain radiating to jaw/arm
- Dyspnea
- Nausea
- Diaphoresis
Clinical Approach
Diagnosis
- ECG (STEMI vs NSTEMI)
- Elevated Troponin
Management
- MONA (Morphine, Oxygen, Nitroglycerin, Aspirin)
- PCI (Cath lab)
Complications
- Arrhythmias
- Cardiogenic shock
- Ventricular free wall rupture