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Acute Miycard Infarc
Acute Miycard Infarc
DEFINITION
RISK FACTORS
o
o
o
o
o
o
o
Modifiable
Smoking
Hypertension
Obesity
Diabetes Mellitus
Dyslipidemia
Low HDL < 40
Elevated LDL / TG
Non Modifiable
o Gender and age:
- male after age 45 y.o
- female after age 55 y.o
o Family History in first
degree
relative > 55 y.o for
male/ 65 y.o for female
PATHOPHYSIOLO
GY
ELECTROCARDIOGRAPHY
BIOMARKERS
Biochemical marker for
detection of myocardial necrosis
First rise
after
AMI
Peak
after
AMI
Return
to
normal
CK-MB
4h
24 h
72 h
Myoglobi
n
2h
6-8 h
24 h
Troponin
T
4h
24 - 48
h
5 21
d
Troponin
I
3-4 h
24 36
h
5 14
d
PRINCIPLE OF
TREATMENT
MANAGEMENT
COMPLICATION