Open main menu

Pathology Education Instructional Resource β

IPLab:Lab 1:Myocardial Infarction

Revision as of 22:11, 27 June 2019 by Peter Anderson (talk | contribs) (Clinical Summary)

Contents

Clinical SummaryEdit

This was a 57-year-old male whose hospital course following abdominal surgery was characterized by progressive deterioration and hypotension. Four days post-operatively, the patient sustained an anterior myocardial infarction and died the next day.

At autopsy the patient's heart weighed 410 grams. Examination of the coronary arteries revealed marked atherosclerotic narrowing of all three vessels with focal occlusion by a thrombus of the left anterior descending artery. Fresh necrosis of the anterior wall of the left ventricle and anterior portion of the septum was present, extending from the endocardium to the inner half of the ventricular wall.

Autopsy FindingsEdit

The patient's heart weighed 410 grams. Examination of the coronary arteries revealed marked atherosclerotic narrowing of all three vessels with focal occlusion by a thrombus of the left anterior descending artery. Fresh necrosis of the anterior wall of the left ventricle and anterior portion of the septum was present, extending from the endocardium to the inner half of the ventricular wall.

ImagesEdit

Virtual MicroscopyEdit

Myocardial InfarctionEdit

Normal HeartEdit

Study QuestionsEdit


Additional ResourcesEdit

Related IPLab CasesEdit

Myocardial infarction is necrosis of myocardial tissue which occurs as a result of a deprivation of blood supply, and thus oxygen, to the heart tissue. Blockage of blood supply to the myocardium is caused by occlusion of a coronary artery.

Atherosclerosis is the deposition of lipid into the intima of arteries, resulting in narrowing of the vessel lumen.

An occlusion is a blockage.

A thrombus is a solid mass resulting from the aggregation of blood constituents within the vascular system.

A normal heart weighs 300 grams (range: 270 to 360 grams).