B9902002 王立中 B9902040 張力常 Thrombus & Myocardial Infarction.

11
B9902002 王王王 B9902040 王王王 Thrombus & Myocardial Infarction

Transcript of B9902002 王立中 B9902040 張力常 Thrombus & Myocardial Infarction.

Page 1: B9902002 王立中 B9902040 張力常 Thrombus & Myocardial Infarction.

B9902002 王立中B9902040 張力常

Thrombus &Myocardial Infarction

Page 2: B9902002 王立中 B9902040 張力常 Thrombus & Myocardial Infarction.

Thrombus (harmful blood clotting)

• Hemostasis: helpful blood clotting (wound healing)

Thrombosis: harmful blood clotting (circumstances of clot formation)

Page 3: B9902002 王立中 B9902040 張力常 Thrombus & Myocardial Infarction.

Arteries Stroke Heart attack

Veins Deep vein thrombosis (DVT) Pulmonary embolism Retinal vein occlusions

Page 4: B9902002 王立中 B9902040 張力常 Thrombus & Myocardial Infarction.

Deep vein thrombosis (DVT) Pulmonary embolism

Retinal vein occlusions

Page 5: B9902002 王立中 B9902040 張力常 Thrombus & Myocardial Infarction.

What happen to the clot?

DissolutionPropagation → Occlusive thrombusEmbolization → ThromboembolusOrganization1)Incorporation2)Recanalization

Page 6: B9902002 王立中 B9902040 張力常 Thrombus & Myocardial Infarction.

Myocardial Infarction

Caused by thrombus

Blockage of coronary arteries

Damage or death of cardiac muscle tissue

Ventricular fibrillation (VF)Ventricular tachycardia (VT)

Page 7: B9902002 王立中 B9902040 張力常 Thrombus & Myocardial Infarction.

Diagnosis

Page 8: B9902002 王立中 B9902040 張力常 Thrombus & Myocardial Infarction.

Cardiac Muscle

Page 9: B9902002 王立中 B9902040 張力常 Thrombus & Myocardial Infarction.

Heart Attack

Page 10: B9902002 王立中 B9902040 張力常 Thrombus & Myocardial Infarction.

Immediate Treatment

Time Is MuscleNitroglycerin

→ metabolite: NO as EDRF (Endothelium-derived relaxing factor)

Aspirin→ antiplatelet effect→ inhibiting Cyclooxygenase (COX) then the production of thromboxane

CPR / AEDOxygen

Page 11: B9902002 王立中 B9902040 張力常 Thrombus & Myocardial Infarction.

Thank you for your attention= )