Patho MI

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PATHOPHYSIOLOGY OF MYOCARDIAL INFARCTION ETIOLOGY: FACTORS

Coronary atherosclerotic heart disease Coronary thrombosis/Embolism Decrease blood flow with shock & or hemorrhage Direct trauma -

RISK
age smoking obesity HPN diabetes diet

Imbalance of blood supply and demand Myocardial ischemia

Occlusion of coronary artery Cellular processes compromised Decrease of oxygen Cell switch to anaerobic metabolism Lactic acid builds up in the cell Cell membrane permeability Specific enzyme release Stimulation of nerve fibers Pain impulses to the CNS
Increased peripheral vasoconstriction

Decrease of myocardial oxygen supply Increased cellular hypoxia Altered cell membrane Int. Decrease of myocardial contractility Decreased cardiac output Decreased arterial pressure Stimulation of baroreceptors Stimulation of sympathetic receptors

Increased myocardial contractility Increased HR Decreased diastolic filling Decreased myocardial tissue perfusion

Increased after load

Increased myocardial oxygen demand

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