Cardiology Myocardial ischemia and infarction Definition and conceptual framework Acute coronary occlusion is the abrupt or progressive reduction of coronary blood flow sufficient to produce…

…infarction ECG Posterior (posterolateral) acute myocardial infarction (STEMI) The heart is rotated 30° to the left in the thorax. This positions the basal portion of…

…with concordant positive T wave in absence of conduction defect. R/S ratio 1 implies that the R wave is larger than the S wave.

…during purely diagnostic angiography. Elective PCI has reported mortality of 0.1–0.3%, large myocardial infarction in fewer than 3%, and stroke in 0…

…In a large network meta analysis, 3 month DAPT, but not 6 month DAPT, was associated with higher rates of myocardial infarction or stent thrombosis…

Myocardial ischemia and infarction ECG Definition and Pathophysiology Acute coronary syndromes (ACS) encompass a spectrum of clinical conditions characterized by a recent change in symptoms…

…of an adequate collateral circulation. A first or anterior infarction. Single vessel disease without collateral support. Chronic kidney disease, particularly in relation to VSR. Large…

…of care in acute STEMI Optimal care for patients with STEMI requires a well coordinated system involving both prehospital and hospital based services. In larger…

…cardiovascular interventions. Dressler syndrome now occurs in fewer than 1% of AMI cases and is seen predominantly after larger infarctions and/or delayed reperfusion. Its…

…of acute coronary syndromes. The LMCA supplies a large myocardial territory through the left anterior descending (LAD) and left circumflex (LCx) arteries (Figure 1). Acute…