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Myocardial Myocardial
Oxygen Supply Oxygen Demand
Classification
Acute coronary syndromes include
1. ST-elevation MI (STEMI)
2. Non ST-elevation MI ( NSTEMI)
3. Unstable Angina
Cardiac markers in circulation indicates
myocardial infarction and help categorize MI and
is a useful adjunct to diagnosis
Classification
Anatomic or morphologic
Transmural= Full thickness
Non-transmural= Partial thickness
ECG
Q wave MI
Non Q wave MI
Does not distinguish transmural from a non-
transmural MI as determined by pathology
Prevalence
In the US, 1.3 million cases of nonfatal MI
were reported in 2006
Incidence of 600 per 100,000 people
Increase in the proportion of NSTEMI
compared to STEMI
Approximately 500,000 to 700,000 deaths
are caused by heart disease annually in
the United States
History