Page 233 - Color Atlas Of Pathophysiology (S Silbernagl Et Al, Thieme 2000)

Infarction Systole Diastole Paradoxical, systolic bulging 4 6 Pericardium Rupture Ventricle Pericardial tamponade Death after infarction

ventricle Dyskinesia (after van der Werf)
Myocardium distensible Systole Diastole Stiff 0.5 0.4
Left
Infarct area 5 Distensible 0.3 0.2 Infarcted ventricular segemnt 80% Myocardial Infarction III

stiff Akinesia CO (L/min) 6 4 2 0 0.1 0
In outer ventricular wall End-diastolic b Normal Compliance curve 200 mL Plate 7.25
G. Mechanical Consequences in the Heart after Myocardial Infarction (in Left Ventricle)

volume
CO
a
End-diast. 10 pressure 0 0
3 Stiff b a 100 Ventricular volume Cardiogenic shock

mmHg
Myocardial infarction (left ventricle) In ventricular septum Perforation Left-to-right shunt Central blood volume Ventricular diastolic pressure Pulmonary edema
20

2
Regurgitant volume Pulmonary congestion
In papillary muscle Acute mitral regurgitation

Ischemia, possibly tearing of chordae ‘Forward’ stroke volume

1
223

Silbernagl/Lang, Color Atlas of Pathophysiology © 2000 Thieme
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