MYOCARDIAL INFARCTION

BUZZWORD – ELEVATED TROPONIN + SIGNS OF ISCHEMIA = MYOCARDIAL INFARCTION (SPECIFY TYPE)

Written by Terry Scanlon,

Updated 2 years ago

 

.ICD10AMI

• Elevated troponin and
• Evidence of ischemia
° EKG changes suggestive of ischemia (new LBBB, ST segment changes, new inverted T waves, new Q waves) or sustained vent tachycardia/vent fib Or
° chest pain or
° Echo with new wall motion abnormality
• TYPE
° Type 1 MI – STEMI OR NSTEMI (due to acute coronary artery clot)
° Type 2 MI – Due to supply-demand mismatch
• ELEVATED TROPONIN WITHOUT SIGNS OF ISCHEMIA IS MYOCARDIAL INJURY OR NON-MI ELEVATED TROPONIN

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