Condition Info - BotMed Application

ConditionName

Myocardial infarction

ConditionDescription

Symptoms

LUQ RUQ pain; Sudden onset; Chest pressure or ache; SOB; fatigue; can be nausea; vomiting; Pain or discomfort in areas of the body; including the arms; left shoulder; back; neck; jaw; or stomach; Syncope;

PhysicalFindings

Transient MR murmur; hypotension; diaphoresis; pulmonary edema; or rales;

ClinicalTests

Cardiac markers: troponin I and troponin T; CK-MB (creatinine kinase; myocardial band subunit); 
Troponin - after 7 h; up to 2 weeks; 
CK-MB - after 4h BEGIN to elevate; stay for 12 h;
ECG: ST segment elevation;
Best test: Angiography

RiskFactors

Diabetes;
High BP;
High cholesterol;
Low HDL;
Smoking;
Obesity;
Family history;
Personal history of CVD

IsRedFlag

IsNPLEX

Consequence

Arrhythmia -> Death

ProgressionFromCondition

TreatmentOptions

Modify risk factors:
Smoking cessation;
Lipid Management;
Diabetes;
HTN;
Weight reduction.

Treat diseases that compromise oxygen supply:
COPD;
Anemia.

PharmOptions

MONA

Up to 12H: thrombolytics

WebLink

https://www.merckmanuals.com/professional/cardiovascular-disorders/coronary-artery-disease/acute-myocardial-infarction-mi?query=Myocardial infarction