Cardiac biomarkers help confirm MI and assess infarct severity.
| Biomarker | Rise Time | Peak Level | Duration | Clinical Significance |
|---|---|---|---|---|
| Cardiac Troponin I (cTnI) | 4 hours | 24 hours | 7–10 days | Most specific marker for MI. Elevated for a prolonged period. |
| CK-MB (Creatine Kinase-Myocardial Band) | 6–12 hours | 16–24 hours | Returns to normal in 48 hours | Useful for detecting reinfarction due to rapid clearance. Found mainly in myocardium but also in skeletal muscle. |
Different MI types present with characteristic ECG changes:
| ECG Finding | Associated Condition |
|---|---|
| ST Elevation (STEMI) | Transmural infarct |
| ST Depression (NSTEMI) | Subendocardial infarct |
| Hyperacute (Peaked) T Waves | Early sign of ischemia |
| T-Wave Inversion | Ischemia or infarction |
| New Left Bundle Branch Block (LBBB) | Possible myocardial infarction |
| Pathologic Q Waves / Poor R Wave Progression | Old or evolving transmural infarct |
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