,*
left anterior descending coronary artery
:
•
cardiac muscle supplied Right left
-
Anterior vent .
septum
Anterior left rent
-
Y⑧
.
-
rent Apex
.
•
conduction issue supplied
•
-
bundle branches
*
circumflex coronary artery
:
T
cardiac muscle Apex
supplied
•
-
left atrium
left vent lateral wall
-
.
left rent posterior wall
-
.
conduction tissue supplied
•
-
SA node in 501 .
hearts
Ar node in 101 hearts
-
.
, stable angina at rest or
relieved nitroglycerin
:
Acute coronary syndrome
-
* sx of myocardial Ischemia or infarction dlt Abrupt & In blood flow
-
unstable angina Creatures immediate tx] biomarkers not detected in
µ
circulation hours after initial onset
angina w/ usual activity / most of ischemia pain
@ "
ask for new onset
•
.
AMI ,
dysrhythm •
abrupt T in frequency severity or duration of preexisting stable
, ,
or SOD
angina
☒ can
Progress to *
difficult to control WI
AMI
•
angina
@ rest or that is
drugs
f) 20min )
-
acute myocardial infarction IAMD
1 I
1st elevated) STEM NSTEMI Most elevation ; can have depression or inversion of ST segment )
d
↳ DX When ischemia is severe
biomarkers present enough to cause myocardial damage
& release of biomarkers indicates
in circulation myocardial necrosis
DX Tests :
☒ 12 lead FKG
ST elevation or depression
-
-
T wave inversion
Q wave Indicative of M ) may not develop
may or
-
↳
any neg .
detection that precedes The R wave
Pathological If Its In V1 -3 or 1mm Wide or > 2mm in depth
path :
ST depression or 1- Nave inversion =
Ischemia Hack of 02 to muscle)
ST elevation KTEMI ) :
actual injury
=
damage is
happening
Q wave :
actual infarction death =
of tissue ↳ can be recuperated
SAMI & Qwave =
develop together
&
part of muscleis
already dead ;
we want to try to minimize
the damage
left anterior descending coronary artery
:
•
cardiac muscle supplied Right left
-
Anterior vent .
septum
Anterior left rent
-
Y⑧
.
-
rent Apex
.
•
conduction issue supplied
•
-
bundle branches
*
circumflex coronary artery
:
T
cardiac muscle Apex
supplied
•
-
left atrium
left vent lateral wall
-
.
left rent posterior wall
-
.
conduction tissue supplied
•
-
SA node in 501 .
hearts
Ar node in 101 hearts
-
.
, stable angina at rest or
relieved nitroglycerin
:
Acute coronary syndrome
-
* sx of myocardial Ischemia or infarction dlt Abrupt & In blood flow
-
unstable angina Creatures immediate tx] biomarkers not detected in
µ
circulation hours after initial onset
angina w/ usual activity / most of ischemia pain
@ "
ask for new onset
•
.
AMI ,
dysrhythm •
abrupt T in frequency severity or duration of preexisting stable
, ,
or SOD
angina
☒ can
Progress to *
difficult to control WI
AMI
•
angina
@ rest or that is
drugs
f) 20min )
-
acute myocardial infarction IAMD
1 I
1st elevated) STEM NSTEMI Most elevation ; can have depression or inversion of ST segment )
d
↳ DX When ischemia is severe
biomarkers present enough to cause myocardial damage
& release of biomarkers indicates
in circulation myocardial necrosis
DX Tests :
☒ 12 lead FKG
ST elevation or depression
-
-
T wave inversion
Q wave Indicative of M ) may not develop
may or
-
↳
any neg .
detection that precedes The R wave
Pathological If Its In V1 -3 or 1mm Wide or > 2mm in depth
path :
ST depression or 1- Nave inversion =
Ischemia Hack of 02 to muscle)
ST elevation KTEMI ) :
actual injury
=
damage is
happening
Q wave :
actual infarction death =
of tissue ↳ can be recuperated
SAMI & Qwave =
develop together
&
part of muscleis
already dead ;
we want to try to minimize
the damage
