Incomplete versus complete myocardial infarction.

Henry Ford Hospital medical journal Pub Date : 1991-01-01
M Gheorghiade, S Goldstein
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Abstract

Incomplete myocardial infarction (MI), when compared with a complete MI, is characterized by a small infarct size and a large mass of viable but jeopardized myocardium within the perfusion zone of the infarct-related vessel that is manifested clinically by early recurrent infarction. The pathophysiology involves early spontaneous or thrombolytic reperfusion. Clinical (i.e., residual ischemia), electrocardiographic, and echocardiographic findings and magnitude of serum cardiac enzyme elevations should be taken into account in diagnosing an incomplete MI.

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不完全心肌梗死与完全心肌梗死。
不完全心肌梗死(MI)与完全心肌梗死相比,其特点是梗死面积小,梗死相关血管灌注区内有大量存活但受损的心肌,临床表现为早期复发性梗死。病理生理包括早期自发性或溶栓性再灌注。在诊断不完全心肌梗死时,应考虑临床(即残余缺血)、心电图和超声心动图的表现和血清心酶升高的幅度。
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