Doctor insights on:
Type 2 Myocardial Infarction
Heart disease: Diabetes is a big risk factor for heart disease in general as it can lead to clogged blood vessels. Diabetes is also usually associated with high blood pressure and high cholesterol. Individually these are all associated with increased risk of heart disease, but together a patient's risk really increases. The risk is high enough, that we usually treat these patients like they have already had a mi. ...Read more
When the blood supply of a tissue is compromised by whatever mechanism, the tissue will stop working and if blood flow is not restored, the tissue will eventually die ("infarct", both verb and noun). The clinical picture that runs with development of an infarct ("heart attack"; ...Read more
A 64-year-old white male appears to be depressed 2 weeks after hospital discharge for a myocardial infarction. How to combat this depression?
Toponins,clinic,wall: Acute cardiogenic shock, .Ventricular arrythmias, infarct syndrome, flash pulmonary edema, wall motion abnormalities, syncope, presyncope, cardiac arrest, . It takes 4 hours for troponins to elevate after the infarct begins. That is why clinical symptoms dictate emergent coronary interventions. Troponins may still be normal within minutes of a life threatening myocardial infarct. ...Read moreSee 2 more doctor answers
Several possible: There are a range of possible complications. The heart is a muscle, and can be weakened by a heart attack and lead to heart failure. The heart has a conduction system which can be damaged and can lead to arrhythmias and cardiac arrest. Many people die from their heart attack, while others have one and don't realize it. Unfortunately about 1/2 of the time the first sign of heart disease is death. ...Read moreSee 1 more doctor answer
Many poss causes: Almost all heart attacks are the result of fatty deposits on the inside of arteries that break open and cause clotting which will blocks the artery (and the blood from flowing to the part of the heart the artery feeds). Family history, fatty diet, smoking, high blood pressure, diabetes and other disorders can all contribute to this process. ...Read moreSee 1 more doctor answer
Is sTNT also a predictive test? So for instance it was normal yesterday are the chances small you will have an Myocardial infarction today?
No: Troponin T is a protein in cardiac muscle. If there is damage to the heart muscle, it will be released into the bloodstream, and elevated levels can be measured in the blood. It is used to document the muscle damage that occurs in a heart attack, but it is not useful to predict chances of a future heart attack, since the levels are not elevated until damage has already occurred. ...Read moreSee 1 more doctor answer
Many: The location is a major factor: left main blockage is most likely to be fatal. Proximal left anterior descending is also often fatal. Patient factors such as on-going tobacco use, uncontrolled hypertension, diabetes, anemia, pre-existing heart or kidney failure and advanced age all raise the risk. ...Read moreSee 1 more doctor answer
Arrhythmia: The most common early complication of myocardial infarction is arrhythmia typically ventricular fibrillation. If this occurs in the hospital, it responds promptly to cardioversion. If it occurs outside the hospital it can result in sudden death. The highest period of risk occurs in the first 48 hours. ...Read moreSee 1 more doctor answer
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