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St-Elevation Myocardial Infarction

 Syn. STEMI

Signs & Symptoms

 Family history of premature angina
Ref: Epocrates [ https://online.epocrates.com/diseases/15032/ST-elevation-myocardial-infarction/Risk-Factors]
Prior coronary artery disease
Ref: Epocrates [ https://online.epocrates.com/diseases/15032/ST-elevation-myocardial-infarction/Risk-Factors]
Restless
Ref: Harrison [ 1874]
Family history of premature coronary artery disease
Ref: Epocrates [ https://online.epocrates.com/diseases/15032/ST-elevation-myocardial-infarction/Risk-Factors]

Physical Examination

 Systolic blood pressure
Ref: Epocrates [ https://online.epocrates.com/diseases/15032/ST-elevation-myocardial-infarction/Risk-Factors]
Diastolic blood pressure
Ref: Epocrates [ https://online.epocrates.com/diseases/15032/ST-elevation-myocardial-infarction/Risk-Factors]
Paradoxical splitting of the second heart sound
Ref: Harrison [ 1874]

Lab / Serology

 Decreased high-density lipoproteins
Ref: Epocrates [ Risk Factors]
Increased low-density lipoproteins
Ref: Epocrates [ Risk Factors]
Elevated Copeptin
Ref: Epocrates [ Tests]

Imagin Study

 Thrombus on Coronary angiography
Ref: Epocrates [ https://online.epocrates.com/diseases/15032/ST-elevation-myocardial-infarction/Risk-Factors]
Hypokinesis
Ref: Epocrates [ Tests]
ST-segment elevation of contiguous leads
Note: At least 1 mm in 2 or more contiguous leads
Ref: Harrison [ 1874] Epocrates [ Tests]

Complication

 Akinesis on Echocardiography
Ref: Epocrates [ https://online.epocrates.com/diseases/15032/ST-elevation-myocardial-infarction/Risk-Factors]
Dyskinesis on Echocardiography
Ref: Epocrates [ https://online.epocrates.com/diseases/15032/ST-elevation-myocardial-infarction/Risk-Factors]
Hypokinesis on Echocardiography
Ref: Epocrates [ https://online.epocrates.com/diseases/15032/ST-elevation-myocardial-infarction/Risk-Factors]

Risk Factors

 Obesity
Ref: Epocrates [ Risk Factors]
Smoking
Ref: Epocrates [ https://online.epocrates.com/diseases/15032/ST-elevation-myocardial-infarction/Risk-Factors]
Elder
Ref: Epocrates [ Risk Factors]

Cause

Other