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1、ACUTE MYOCARDIAL INFARCTION（AMI）Contents Definition Definition Definition Prevalence CausePlaque rupture Plaque rupture adventitialipid coreCholesterol nuclearthrombosis Ruptured plaques Risk factors Inducing factors Symptoms Prodromal symptomsPain of infarction Associated symptomsPainless infarctio
2、n sudden death and Early arrhythmias SignsSignsSignsSignsSigns Auxiliary examinations ElectrocadiogramQ wave development T wave inversionLocation Inferior wall aVF Anterior wall V16 Anteroseptal wall V1-3 Apical or lateral wall V46 Posterior wall-V7-9 Right-sided -V4R-V5RLaboratory findings Marker T
3、ime to appearance Duration of elevation 6hr12hrSpecificity Troponin I 2-6hr 5-10d75%90%-100%98%Troponin T2-6hr 5-14d80%95%-100%95%CK-MB3-6hr 2-4d65%95%95%myoglobin1-2hr 1d85%90%80%Echocardiography WHO Definition Of MIDiagnosis Chest pain History、examination and ECG Acute coronary syndrome（ACS）ST segment elevation Non-ST segment elevation NSTEMIUANo TnI(TnT)STEMITnI(TnT)TnI(TnT)The differential diagnosis Complications Therapy Prevention
心肌梗死英文ppt課件
