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Myocardial infarction complications may occur immediately following a myocardial infarction (heart attack) (in the acute phase), or may need time to develop (a chronic problem). After an infarction, an obvious complication is a second infarction, which may occur in the domain of another atherosclerotic coronary artery, or in the same zone if ...
A rise must be new in V2 and V3 ≥2 mm (0,2 mV) for males or ≥1.5 mm (0.15 mV) for females or ≥1 mm (0.1 mV) in two other adjacent chest or limb leads. [19] [24] ST elevation is associated with infarction, and may be preceded by changes indicating ischemia, such as ST depression or inversion of the T waves. [87]
The most common cause of myocardial rupture is a recent myocardial infarction, with the rupture typically occurring three to five days after infarction. [3] Other causes of rupture include cardiac trauma, endocarditis (infection of the heart), [4] [5] cardiac tumors, infiltrative diseases of the heart, [4] and aortic dissection. [citation needed]
Limb: Limb infarction is an infarction of an arm or leg. Causes include arterial embolisms and skeletal muscle infarction as a rare complication of long standing, poorly controlled diabetes mellitus. [12] A major presentation is painful thigh or leg swelling. [12] Bone: Infarction of bone results in avascular necrosis.
The 2018 European Society of Cardiology/American College of Cardiology Foundation/American Heart Association/World Health Federation Universal Definition of Myocardial Infarction for the ECG diagnosis of the ST segment elevation type of acute myocardial infarction require new ST elevation at J point of at least 1mm (0.1 mV) in two contiguous leads with the cut-points: ≥1 mm in all leads ...
A mnemonic can be used for some causes of ST depression, namely DEPRESSED ST: [citation needed]. D - Drooping valve (mitral valve prolapse) E - Enlargement of the left ventricle P - Potassium loss R - Reciprocal ST depression (e.g. inferior wall MI) E - Encephalon hemorrhage S - Subendocardial infarct S - Subendocardial ischemia E - Embolism (pulmonary) D - Dilated cardiomyopathy S - Shock T ...
First-degree heart block does not require any particular investigations except for electrolyte and drug screens, especially if an overdose is suspected. [ 5 ] In comparison to second-degree atrioventricular block , in first-degree block there is an absence of non-conduction or "dropped beats."
It is normal to have a narrow QS and rSr' patterns in V 1, and this is also the case for qRs and R patterns in V 5 and V 6. The transition zone is where the QRS complex changes from predominantly negative to predominantly positive (R/S ratio becoming >1), and this usually occurs at V 3 or V 4 .