Myocardial Infarction · Pathology

Which of the following describes a 'subendocardial' myocardial infarction?

  1. Involvement of the full thickness of the ventricular wall
  2. Necrosis of the inner one-third to one-half of the wall
  3. Infarction involving only the epicardial fat
  4. Necrosis localized strictly to the right atrium
Show answer and explanation

Correct answer: Necrosis of the inner one-third to one-half of the wall

The subendocardium is the least perfused region of the heart and the first to suffer from ischemia. Subendocardial infarcts often result from global hypotension or transient occlusions, and typically do not show ST-segment elevation on ECG.

Difficulty: Medium Question 11 of 20

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