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www.NursesLabs.com




                                           Altered Repolarization of
                                               the Myocardium


                                          Release of Lysosomal
                                          Enzymes

                                        Anaerobic                         Lactic Acid
                                        Glycolysis                        Production

                                        Myocardial Irritability

Decreased Contractility                                                          ANGIN
                                                       DYSRHYTHMI                A
                                                       A
                                      ↓ Ventricular
                                        Function




                          ↑ Preload                   ↓ CO



                                                      ↓ Blood Flow to
                                                             Brain




                                                           LOSS OF
                                                           CONS-
                                                      CIOUSNESS




                                                                                         3
www.NursesLabs.com
                                   Enlargement of Thrombus



                                       Occlusive Thrombus
WEAKNESS/FATIGUE (JULY 17-


                                    Ischemia of Tissue in Region
                                                                                        PALPITATION
                                         Supplied by Artery
                                                                                        S
               ↓ O2
                                    Coronary Blood Supply
                                      Less Than Demand
  ↑ CO2

  levels                              MYOCARDIAL CELL DEATH
                                                (NECROSIS)
     ↓ Bld
      pH




     DEEP &                            Stimulation of
    LABORED                           Sympathetic NS
    BREATHIN
           G

                                      ↑ O2 need               ↑ Afterload
                        ↑ HR


                                                                   Vasoconstriction
                               ↑ Epinephrine &
                               Norepinephrine
                                   Production
                                                                       HTN
                      ↑ BMR



                                                                    ↓ Blood Supply to
                               ARRHYTHMI
                                                                         GI Tract
                               A


                                     DIAPHORESI                           N/V
                                            S




                                                                                                      2
PATHOPHYSIOLOGY OF ACUTE MI (BOOK-
                                               www.NursesLabs.com
                                                      BASED)
                 .                ACUTE MYOCARDIAL INFARCTION




                     MODIFIABLE FACTORS:                                       NONMODIFIABLE
                                                                                   FACTORS:

       Hypertension
       Smoking                                                                 Aging

       ↑ levels of triglyceride, total cholesterol & LDL                       Gender(Male)

       Obesity
       Excessive intake of saturated fats, carbohydrates
       or salt
       Sedentary lifestyle/physical inactivity
       Stress/Type A personality



                                            Change in the Condition of
                                            Plaque in the Coronary Artery


                                            Activation of Platelets
Rest
Pain
                                            Platelet Aggregation,
                                            Adhesion, & Buildup of
Claudi-
                                            Platelet Mass
cation
                       ATHERO-                        THROMBOSIS
                       SCLEROSI

N/V                       S
                                                 Release of Thromboplastin


Fainting
                                           Platelet release Thromboxane
                                           A2, Serotonin, Platelet Factors 3
Sweating                                   &4
                                             Coagulation and Vasospasm

    Cool
 extremities                                     Enlargement of Thrombus

                                                                                               1
PATHOPHYSIOLOGY OF ACUTE MI (BOOK-
                                               www.NursesLabs.com
                                                      BASED)
                 .                ACUTE MYOCARDIAL INFARCTION




                     MODIFIABLE FACTORS:                                       NONMODIFIABLE
                                                                                   FACTORS:

       Hypertension
       Smoking                                                                 Aging

       ↑ levels of triglyceride, total cholesterol & LDL                       Gender(Male)

       Obesity
       Excessive intake of saturated fats, carbohydrates
       or salt
       Sedentary lifestyle/physical inactivity
       Stress/Type A personality



                                            Change in the Condition of
                                            Plaque in the Coronary Artery


                                            Activation of Platelets
Rest
Pain
                                            Platelet Aggregation,
                                            Adhesion, & Buildup of
Claudi-
                                            Platelet Mass
cation
                       ATHERO-                        THROMBOSIS
                       SCLEROSI

N/V                       S
                                                 Release of Thromboplastin


Fainting
                                           Platelet release Thromboxane
                                           A2, Serotonin, Platelet Factors 3
Sweating                                   &4
                                             Coagulation and Vasospasm

    Cool
 extremities                                     Enlargement of Thrombus

                                                                                               1
PATHOPHYSIOLOGY OF ACUTE MI (BOOK-
                                               www.NursesLabs.com
                                                      BASED)
                 .                ACUTE MYOCARDIAL INFARCTION




                     MODIFIABLE FACTORS:                                       NONMODIFIABLE
                                                                                   FACTORS:

       Hypertension
       Smoking                                                                 Aging

       ↑ levels of triglyceride, total cholesterol & LDL                       Gender(Male)

       Obesity
       Excessive intake of saturated fats, carbohydrates
       or salt
       Sedentary lifestyle/physical inactivity
       Stress/Type A personality



                                            Change in the Condition of
                                            Plaque in the Coronary Artery


                                            Activation of Platelets
Rest
Pain
                                            Platelet Aggregation,
                                            Adhesion, & Buildup of
Claudi-
                                            Platelet Mass
cation
                       ATHERO-                        THROMBOSIS
                       SCLEROSI

N/V                       S
                                                 Release of Thromboplastin


Fainting
                                           Platelet release Thromboxane
                                           A2, Serotonin, Platelet Factors 3
Sweating                                   &4
                                             Coagulation and Vasospasm

    Cool
 extremities                                     Enlargement of Thrombus

                                                                                               1
PATHOPHYSIOLOGY OF ACUTE MI (BOOK-
                                               www.NursesLabs.com
                                                      BASED)
                 .                ACUTE MYOCARDIAL INFARCTION




                     MODIFIABLE FACTORS:                                       NONMODIFIABLE
                                                                                   FACTORS:

       Hypertension
       Smoking                                                                 Aging

       ↑ levels of triglyceride, total cholesterol & LDL                       Gender(Male)

       Obesity
       Excessive intake of saturated fats, carbohydrates
       or salt
       Sedentary lifestyle/physical inactivity
       Stress/Type A personality



                                            Change in the Condition of
                                            Plaque in the Coronary Artery


                                            Activation of Platelets
Rest
Pain
                                            Platelet Aggregation,
                                            Adhesion, & Buildup of
Claudi-
                                            Platelet Mass
cation
                       ATHERO-                        THROMBOSIS
                       SCLEROSI

N/V                       S
                                                 Release of Thromboplastin


Fainting
                                           Platelet release Thromboxane
                                           A2, Serotonin, Platelet Factors 3
Sweating                                   &4
                                             Coagulation and Vasospasm

    Cool
 extremities                                     Enlargement of Thrombus

                                                                                               1

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Mi patho

  • 1. www.NursesLabs.com Altered Repolarization of the Myocardium Release of Lysosomal Enzymes Anaerobic Lactic Acid Glycolysis Production Myocardial Irritability Decreased Contractility ANGIN DYSRHYTHMI A A ↓ Ventricular Function ↑ Preload ↓ CO ↓ Blood Flow to Brain LOSS OF CONS- CIOUSNESS 3
  • 2. www.NursesLabs.com Enlargement of Thrombus Occlusive Thrombus WEAKNESS/FATIGUE (JULY 17- Ischemia of Tissue in Region PALPITATION Supplied by Artery S ↓ O2 Coronary Blood Supply Less Than Demand ↑ CO2 levels MYOCARDIAL CELL DEATH (NECROSIS) ↓ Bld pH DEEP & Stimulation of LABORED Sympathetic NS BREATHIN G ↑ O2 need ↑ Afterload ↑ HR Vasoconstriction ↑ Epinephrine & Norepinephrine Production HTN ↑ BMR ↓ Blood Supply to ARRHYTHMI GI Tract A DIAPHORESI N/V S 2
  • 3. PATHOPHYSIOLOGY OF ACUTE MI (BOOK- www.NursesLabs.com BASED) . ACUTE MYOCARDIAL INFARCTION MODIFIABLE FACTORS: NONMODIFIABLE FACTORS: Hypertension Smoking Aging ↑ levels of triglyceride, total cholesterol & LDL Gender(Male) Obesity Excessive intake of saturated fats, carbohydrates or salt Sedentary lifestyle/physical inactivity Stress/Type A personality Change in the Condition of Plaque in the Coronary Artery Activation of Platelets Rest Pain Platelet Aggregation, Adhesion, & Buildup of Claudi- Platelet Mass cation ATHERO- THROMBOSIS SCLEROSI N/V S Release of Thromboplastin Fainting Platelet release Thromboxane A2, Serotonin, Platelet Factors 3 Sweating &4 Coagulation and Vasospasm Cool extremities Enlargement of Thrombus 1
  • 4. PATHOPHYSIOLOGY OF ACUTE MI (BOOK- www.NursesLabs.com BASED) . ACUTE MYOCARDIAL INFARCTION MODIFIABLE FACTORS: NONMODIFIABLE FACTORS: Hypertension Smoking Aging ↑ levels of triglyceride, total cholesterol & LDL Gender(Male) Obesity Excessive intake of saturated fats, carbohydrates or salt Sedentary lifestyle/physical inactivity Stress/Type A personality Change in the Condition of Plaque in the Coronary Artery Activation of Platelets Rest Pain Platelet Aggregation, Adhesion, & Buildup of Claudi- Platelet Mass cation ATHERO- THROMBOSIS SCLEROSI N/V S Release of Thromboplastin Fainting Platelet release Thromboxane A2, Serotonin, Platelet Factors 3 Sweating &4 Coagulation and Vasospasm Cool extremities Enlargement of Thrombus 1
  • 5. PATHOPHYSIOLOGY OF ACUTE MI (BOOK- www.NursesLabs.com BASED) . ACUTE MYOCARDIAL INFARCTION MODIFIABLE FACTORS: NONMODIFIABLE FACTORS: Hypertension Smoking Aging ↑ levels of triglyceride, total cholesterol & LDL Gender(Male) Obesity Excessive intake of saturated fats, carbohydrates or salt Sedentary lifestyle/physical inactivity Stress/Type A personality Change in the Condition of Plaque in the Coronary Artery Activation of Platelets Rest Pain Platelet Aggregation, Adhesion, & Buildup of Claudi- Platelet Mass cation ATHERO- THROMBOSIS SCLEROSI N/V S Release of Thromboplastin Fainting Platelet release Thromboxane A2, Serotonin, Platelet Factors 3 Sweating &4 Coagulation and Vasospasm Cool extremities Enlargement of Thrombus 1
  • 6. PATHOPHYSIOLOGY OF ACUTE MI (BOOK- www.NursesLabs.com BASED) . ACUTE MYOCARDIAL INFARCTION MODIFIABLE FACTORS: NONMODIFIABLE FACTORS: Hypertension Smoking Aging ↑ levels of triglyceride, total cholesterol & LDL Gender(Male) Obesity Excessive intake of saturated fats, carbohydrates or salt Sedentary lifestyle/physical inactivity Stress/Type A personality Change in the Condition of Plaque in the Coronary Artery Activation of Platelets Rest Pain Platelet Aggregation, Adhesion, & Buildup of Claudi- Platelet Mass cation ATHERO- THROMBOSIS SCLEROSI N/V S Release of Thromboplastin Fainting Platelet release Thromboxane A2, Serotonin, Platelet Factors 3 Sweating &4 Coagulation and Vasospasm Cool extremities Enlargement of Thrombus 1