Myocardial Infarction (MI)
Myocardial Infarction (MI)
Myocardial Infarction (MI)
Prepared by
Miss Fatima Hirzallah
RNS, MSN ,CNS, PhD candidat
Objectives
Patient History
The patient history has two parts: the
description of the presenting symptom (eg,
pain) and the history of previous illnesses
and family history of heart disease
ECG
laboratory test results (eg, serial cardiac
biomarker values).
Electrocardiogram(ECG)
Pharmacologic Therapy
The patient with suspected MI is given
Aspirin, Nitroglycerin, Morphine, a Beta-blocker
Pharmacological Therapy
Fibrinolytics
Alteplase – tPA
Tenecteplase – tNK
Reteplase –r-PA
Anticoagulants
Low-molecular-weight heparins
Heparin
Platelet Inhibitors
Aspirin
Glycoprotein IIb/IIIa inhibitors
Pharmacological Therapy
Thrombolytics or Fibrinolytics
The purpose of thrombolytics is to dissolve and
lyse the thrombus in a coronary artery
(thrombolysis)
Allowing blood to flow through the coronary
artery again (reperfusion)
Minimizing the size of the infarction
Preserving ventricular function
Pharmacological Therapy
Alteplase is a tissue plasminogen activator
(t-PA) that activates the plasminogen present
on the blood clot.