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Quick Medical Diagnosis & Treatment
Myocardial Infarction, Acute
Sections: Key Features, Essentials of Diagnosis, General Considerations, Clinical Findings, Symptoms and Signs, Differential Diagnosis, Diagnosis, Laboratory Tests, Imaging Studies, Diagnostic Procedures, Treatment, Medications, Therapeutic Procedures, Outcome, Follow-Up, Complications, Prevention, Prognosis, When to Refer, When to Admit, References,
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Topics Discussed: myocardial infarction; myocardial infarction, acute; thrombolytic therapy.
Excerpt: | |  Sudden but not instantaneous development of prolonged (> 30 minutes) anterior chest discomfort (sometimes felt as “gas” or pressure)
Sometimes painless, masquerading as acute congestive heart failure (CHF), syncope, stroke, or shock ECG: ST-segment elevation or left bundle branch block Immediate reperfusion treatment is warranted Primary percutaneous coronary intervention (PCI) within 90 minutes of first medical contact is the goal and is superior to thrombolysis Thrombolysis within 30 minutes of hospital presentation and 6–12 hours of onset of symptoms reduces mortality |
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