Science Quiz / Myocardial Infarction

Random Science Quiz

Can you name the Myocardial Infarction

 Plays Quiz not verified by Sporcle

Score 0/59 Timer 20:00
Almost always the result of an __
With the development of __
And total __ of the artery
Most common presenting feature
Unlike angina it occurs at __, is more severe and last for several hours
The pain is often associated with __ (name 2)
The patient often appears __ (name 2)
About __ of patients have no pain
These can either go unnoticed or present with __ (name 2)
This occurs most commonly in elderly patients or those with __
The diagnosis is made on the basis of the clinical history & early __ appearances
Serial changes (over __) in the ECG & serum levels of cardiac markers confirm the diagnosis & allow an assessment of infarct size
A normal __ in the early stages does not exclude the diagnosis
ECG - within hours there is __
Followed by __
Pathological Q waves are __ & __ negative deflections that start the QPR complex
They develop because the infarcted muscle is __ so that the recording leads 'look through' the infarcted area
This means that the electrical activity being recorded (on the opposite ventricular wall) is moving away from the electrode & s therefore __
New __ is also an indicator of acute MI
Typically ECG changed are confined to the leads that __ the infarct
Leads __ are involved in inferior infarcts
Leads __ are involved in lateral infarcts
Leads __ are involved in anterior infarcts
As there are no posterior leads, a posterior wall infarct is diagnosed by the appearance of reciprocal changes in __
i.e. the development of tall initial __ waves
__ depression
And tall upright __ waves
__ are regulatory proteins, highly specific & sensitive for cardiac muscle damage
They are released within __ of even onset
And persist for several __
They are more sensitive & cardiac specific than __
CK is also produced by damaged __
They myocardial-bound (MB) isoenzyme fraction of CK is specific for __
The size of the enzyme rise is broadly proportional to the __
Other investigations include __
Lipids taken within the first __ reflect preinfarction levels
But after this time they stay altered for up to __
__ is common & treatment is that of the underlying cause, particularly pain, anxiety & HF
Sinus bradycardia is especially associated with __
AF occurs in about __ of cases & is usually a transient rhythm disturbance
__ are common and may precede the development of ventricular tachycardia (VT) or fibrillation (VF)
VT may degenerate into __ or itself produce shock or HF
__ occurring with inferior infarction is common & usually resolves spontaneously
__ occurring with anterior wall infarction indicates the involvement of both bundle branches by extensive myocardial necrosis
This has a very __
Heart failure in a mild form occurs in up to __ of patients following MI
Entensive infarction may cause acute HF, which may also occur following rupture of the __ or mitral valve papillary muscle
Both conditions present with worsening HR, a systolic __ & a loud __
Mortality is high & urgernt __ is needed
Hypertension with a raised JVP is usually a complication of __
But may also occur with __
Patients with severe left ventricular dysfunction, persistent AF or mural thrombosis on echo are at risk of __ from __
They should be anticoagulated with warfarin to achieve a target INR of __
__ is characterised by sharp chest pain & a pericardial rub
Late pericarditis is after how long?
Late pericarditis with fever & pericardial effusion is known as __
__ of patients die during the acute event
A further __ die in hospital
Of the survivors a further __ die in the next 2 years

You're not logged in!

Compare scores with friends on all Sporcle quizzes.
Log In

Sporcle TV

Today on Sporcle TV

Watch our educational content, quiz creation guides, and fun videos on Sporcle TV.

Show Comments


Created Dec 9, 2014ReportNominate

Top Quizzes Today

Score Distribution

Your Account Isn't Verified!

In order to create a playlist on Sporcle, you need to verify the email address you used during registration. Go to your Sporcle Settings to finish the process.

Report this User

Report this user for behavior that violates our Community Guidelines.