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FAILURE TO DIAGNOSIS HEART DISEASE         

MYOCARDIAL INFARCTION

Acute myocardial infarction occurs in approximately 900,000 persons in the United States each year and it is fatal in about one-fourth of these cases. Approximately one-half of the fatalities occur within one hour of the onset of symptoms and before the patient reaches the hospital; this is the largest cause of sudden cardiac death.

Myocardial Infarction (MI) is what we commonly call a heart attack. It is the complete stoppage of the heart beat. MI is a condition caused by partial or complete blockage of one or more of the coronary arteries. Myocardial refers to the muscle or tissue of the heart. An infarct is an area of tissue in the heart that dies due to the lack of blood supply. Arterial sclerosis causes the reduced blood supply to the heart. As the heart muscle dies from a lack of blood supply, or if an artery becomes totally blocked or occluded, the heart stops functioning.

The symptoms for Myocardial Infarction may include prolonged heavy pressure or squeezing pain in the chest. The pain may spread or be localized to the neck, left shoulder, arm, hand and fingers. The symptoms may be accompanied by nausea, vomiting, sweating, and shortness of breath. It is believed that up to one-third of Myocardial Infractions go undetected. These are called silent infarctions. The patients who have silent infarctions and have no history of angina have a greater risk of dying of coronary heart disease than those who do have a history of a recognized heart attach.

It is imperative that medical treatment be instituted without delay. Many MI patients not treated prior to reaching the hospital die. Immediate administration of life support measures is necessary. After the patient is stabilized, therapy should be provided in a coronary care unit.

A damaged heart muscle can not be repaired, but the blocked artery can often be repaired or replaced. Treatment can include thrombolytic drug therapy (these are blood clot busting drugs), angioplasty or surgery.


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