ECG-5 Heart Attack එකක් ECG එකේ පෙන්වන්නේ මොන ආකාරයටද. Dr Dinusha

හදවතේ මොන ස්තානයට හානි සිදුවී ඇද්ද- ගෙදර ඇති ECG එක ලග තියගෙන බලන්න
Electrocardiogram (ECG) changes play a crucial role in diagnosing myocardial infarction (MI), commonly known as a heart attack. MI occurs when there is a blockage in the blood supply to a part of the heart muscle, resulting in damage to that area. ECG findings in MI help identify the location and extent of the damage. Here are typical ECG changes associated with myocardial infarction:
1. ST-Segment Elevation Myocardial Infarction (STEMI):
Characteristics:
ST Elevation: Persistent elevation of the ST segment in specific leads.
Reciprocal Changes: In some cases, reciprocal changes (ST depression) may be seen in leads opposite to the site of infarction.
Leads Involved:
Anterior Wall MI: ST elevation in leads V1 to V4.
Inferior Wall MI: ST elevation in leads II, III, and aVF.
Lateral Wall MI: ST elevation in leads I, aVL, V5, and V6.
Posterior Wall MI: ST depression in anterior leads (V1 to V4) with tall R waves.
Treatment:
Immediate reperfusion therapy is essential. This may involve percutaneous coronary intervention (PCI) or thrombolytic therapy.
2. Non-ST Elevation Myocardial Infarction (NSTEMI):
Characteristics:
ST Depression or T-Wave Inversion: Instead of ST elevation, there may be ST depression or T-wave inversion, indicating myocardial ischemia.
Troponin Release: NSTEMI is associated with an increase in cardiac troponin levels.
Leads Involved:
Changes may be seen in various leads depending on the location of the infarcted area.
Treatment:
Management involves medications such as antiplatelet agents, anticoagulants, and sometimes invasive procedures like coronary angiography.
3. Unstable Angina:
Characteristics:
Transient ST Depression: Similar to NSTEMI, unstable angina may present with transient ST depression.
No Troponin Release: Unlike NSTEMI, there is no significant increase in troponin levels.
Leads Involved:
Changes may be seen in various leads.
Treatment:
Management involves medications to relieve chest pain and prevent further episodes, along with risk factor modification.
Important Considerations:
Evolution of Changes: ECG changes in MI can evolve over time. Serial ECGs are often performed to track these changes.
Clinical Correlation: ECG findings should be correlated with the patient's clinical presentation, symptoms, and additional diagnostic tests.
Reciprocal Changes: The presence of reciprocal changes in leads opposite to the primary changes is common and provides additional diagnostic information.
Timely recognition and intervention are critical in the management of myocardial infarction. Any suspected MI requires immediate medical attention for proper diagnosis and treatment. The interpretation of ECG findings in MI is typically done by healthcare professionals, especially cardiologists, with expertise in cardiovascular care.
myocardial infarction,ecg,myocardial infarction ecg,heart,cardiology

[@user-xb5oi5vt9r]

Thank you very much sir ,ඊලග කොටස (part6)? කෙසේද ලබාගන්නේ? අතිශයිනම් විශිෂ්ට යි, ඔබ

[@lithulilohansa7511]

හදවතින්ම ස්තූතියි !!!! doctor

[@dinushakodikara7077]

🙃🙃🙃🙃🙂❤️

[@dilshigayathree7814]

Thank u very much Dr.💐💐

[@ruwanvithanage4278]

මටත් හදවත් රෝග යක් ආවා ඔබතුමා ගෙන් ප්‍රශ්න ය තිබෙන තැන ඉතාමත් හොඳින් දැන ගත්ත ගොඩක් පින්

[@dinushakodikara7077]

Thank you🙃🙃🙃

[@samurdhisamurdhimuthukumar4235]

Its a great explanation and very easy to understand dr.

[@dinushakodikara7077]

Thank you

[@nilukshi1227]

Thank you Dr

[@dinushakodikara7077]

😇😇

[@user-dw1pj4wf6i]

Didnt Ecg video 6 upload yet sir

[@user-fx9bn9ls1h]

Thank you doctor

[@dinushakodikara7077]

😊😊😊😊

[@tvinopan]

If u make this in to English that wud be a great help

[@dinushakodikara7077]

Ok sure