Table of Contents
How do you identify acute MI?
An MI is diagnosed when two of the following criteria are met:
- Symptoms of ischemia.
- New ST-segment changes or a left bundle branch block (LBBB)
- Presence of pathological Q waves on the ECG.
- Imaging study showing new regional wall motion abnormality.
- Presence of an intracoronary thrombus at autopsy or angiography.
What causes an acute MI?
Acute myocardial infarction, also known as a heart attack, is a life-threatening condition that occurs when blood flow to the heart muscle is abruptly cut off, causing tissue damage. This is usually the result of a blockage in one or more of the coronary arteries.
What is meant by acute MI?
A heart attack or acute myocardial infarction (MI) occurs when one of the arteries that supplies the heart muscle becomes blocked. Blockage may be caused by spasm of the artery or by atherosclerosis with acute clot formation.
What is your nursing priority in acute MI?
Nursing Priorities Relieve pain, anxiety. Reduce myocardial workload. Prevent/detect and assist in treatment of life-threatening dysrhythmias or complications. Promote cardiac health, self-care.
What is the most common assessment finding with acute MI?
Patients with typical acute MI usually present with chest pain and may have prodromal symptoms of fatigue, chest discomfort, or malaise in the days preceding the event; alternatively, typical ST-elevation MI (STEMI) may occur suddenly without warning.
What is the most common complication of acute MI?
Ventricular free wall rupture. VFWR is the most serious complication of AMI. VFWR is usually associated with large transmural infarctions and antecedent infarct expansion. It is the most common cause of death, second only to LV failure, and it accounts for 15-30% of the deaths associated with AMI.
What is the most common site for MI?
The most common symptom is chest pain or discomfort which may travel into the shoulder, arm, back, neck or jaw. Often it occurs in the center or left side of the chest and lasts for more than a few minutes.
What is the most common cause of MI?
Myocardial infarction (MI) usually results from an imbalance in oxygen supply and demand, which is most often caused by plaque rupture with thrombus formation in an epicardial coronary artery, resulting in an acute reduction of blood supply to a portion of the myocardium.
What is TROP T positive?
Troponin isn’t normally found in the blood. When heart muscles become damaged, troponin is sent into the bloodstream. As heart damage increases, greater amounts of troponin are released in the blood. High levels of troponin in the blood may mean you are having or recently had a heart attack.