| PMI | pain management inventory; past medical illness; patient medication instruction; perioperative myoca... |
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| SMI | Self-Motivation Inventory; senior medical investigator; severe mental impairment; silent myocardial ... |
| TAMI | thrombolysis and angioplasty in myocardial infarction; transmural anterior myocardial infarction |
| TIMI | trhombolysis in myocardial infarction; transmural inferior myocardial infarction |
| TMI | testing motor impairment; threatened myocardial infarction; transmural myocardial infarction |
| myocardial infarction | A term used to describe irreversible injury to heart muscle. Synonym: heart attack. See: infarction. Common symptoms include substernal, crushing chest pain that may radiate to the jaw or arms. Chest pains may be associated with nausea, sweating and shortness of breath. Acronym: MI (27 Sep 1997) |
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| myocardial infarction in dumbbell form | Infarction involving the septum along with both inferior and anterior walls to make an H-or dumbbell-shaped configuration. Synonym: Roesler-Bressler infarct. (05 Mar 2000) |
| myocardial insufficiency | A condition where there is ineffective pumping of the heart leading to an accumulation of fluid in the lungs. Typical symptoms include shortness of breath with exertion, difficulty breathing when lying flat and leg or ankle swelling. Causes include chronic hypertension, cardiomyopathy and myocardial infarction. (27 Sep 1997) |
| myocardial ischemia | A disorder of cardiac function caused by insufficient blood flow to the muscle tissue of the heart. The decreased blood flow may be due to narrowing of the coronary arteries (coronary arteriosclerosis), to obstruction by a thrombus (coronary thrombosis), or less commonly, to diffuse narrowing of arterioles and other small vessels within the heart. Severe interruption of the blood supply to the myocardial tissue may result in necrosis of cardiac muscle (myocardial infarction). (12 Dec 1998) |
| myocardial necrosis | Irreversible destruction of myocardial (heart muscle) cells. (27 Sep 1997) |
| myocardial perfusion imaging | <radiology> (thallium scanning) thallium (Tl) 201, acts as potassium analog, dose 2.0 - 3.0 mCi at peak exercise, 4% of injected dose reaches myocardium, imaging: exercise (1-5 min), redistribution (3-4 hrs), views: anterior, LAO 45', left lateral, interpretation: normal, reversible abnormalitymost likely to be exercise-induced ischemia, nonreversible abnormalitymost likely to be prior myocardial infarction, reverse redistribution most likely to be normal areas wash out faster, lung activity most likely to be LV failure during exercise see also: dipyridamole test, nuclear cardiology (12 Dec 1998) |
| myocardial reperfusion | Generally, restoration of blood supply to heart tissue which is ischemic due to decrease in normal blood supply. The decrease may result from any source including atherosclerotic obstruction, narrowing of the artery, or surgical clamping. Reperfusion can be induced to treat ischemia. Methods include chemical dissolution of an occluding thrombus, administration of vasodilator drugs, angioplasty, catheterization, and artery bypass graft surgery. However, it is thought that reperfusion can itself further damage the ischemic tissue, causing myocardial reperfusion injury. (12 Dec 1998) |
| myocardial reperfusion injury | Functional, metabolic, or structural changes in ischemic heart muscle thought to result from reperfusion to the ischemic areas. Changes can be fatal to muscle cells and may include oedema with explosive cell swelling and disintegration, sarcolemma disruption, fragmentation of mitochondria, contraction band necrosis, enzyme washout, and calcium overload. Other damage may include haemorrhage and ventricular arrhythmias. One possible mechanism of damage is thought to be oxygen free radicals. Treatment currently includes the introduction of scavengers of oxygen free radicals, and injury is thought to be prevented by warm blood cardioplegic infusion prior to reperfusion. (12 Dec 1998) |
| myocardial revascularization | The restoration of blood supply to the myocardium. (12 Dec 1998) |
| myocardial rigor mortis | Irreversible contraction of the left ventricle of the heart as a complication seen in the early period of cardiopulmonary bypass and now avoided by appropriate cardioplegic solutions. Synonym: myocardial rigor mortis, stone heart. (05 Mar 2000) |
| myocardial stunning | Prolonged dysfunction of the myocardium after a brief episode of severe ischemia, with gradual return of contractile activity. It occurs frequently, both in the experimental laboratory and in clinical medicine. Since stunned myocardium occurs adjacent to necrotic tissue after prolonged coronary occlusion, many myocardial infarcts may be a mixture of necrotic and stunned tissue. (12 Dec 1998) |
| posterior myocardial infarction | Infarction involving the posterior wall of the heart; also formerly used erroneously of infarction's involving the inferior or diaphragmatic surface of the heart. (05 Mar 2000) |
| silent myocardial infarction | Infarction that produces none of the characteristic symptoms and signs of myocardial infarction. (05 Mar 2000) |
| subendocardial myocardial infarction | Infarction that involves only the layer of muscle subjacent to the endocardium. (05 Mar 2000) |
| nontransmural myocardial infarction | Necrosis of heart muscle that fails to extend from the endocardium to the epicardium, often erroneously considered relatively benign. (05 Mar 2000) |