What is a STEMI?

ST-segment elevation myocardial infarction (STEMI) is a type of Ataque al corazón. It occurs when a blockage stops all or nearly all blood flow through an artery leading to the heart. Left untreated, a STEMI can cause long-term complications and can be fatal.

STEMIs get their name from how they appear on an electrocardiogram (EKG). The ST segment is a pattern of electrical signals in the heart. On an EKG, the ST segment is typically flat, but a complete or nearly complete blockage causes it to elevate.

STEMI vs. NSTEMI heart attacks

STEMI and NSTEMI (non-ST-elevation myocardial infarction) are both types of heart attacks. While a STEMI occurs when an artery is completely blocked, an NSTEMI occurs due to a partial blockage or temporary interruption of blood flow.

The two heart attacks also show up differently on an EKG. The blockage causing a STEMI creates a spike in the ST segment, which is visible on an EKG. An NSTEMI doesn’t cause a spike in the ST segment. EKGs usually show no changes in the heart’s electrical activity or a depressed ST segment, and doctors may need to order other tests to determine whether someone is having an NSTEMI.

Illustration of an artey that is almost completely blocked of blood flow. STEMI heart attacks occur

Symptoms of STEMI

Symptoms of a STEMI are generally very typical heart attack symptoms. However, other symptoms are possible. Recognizing these symptoms and seeking emergency medical attention can help protect your heart from additional damage or even save your life.

Symptoms of a STEMI heart attack include:

  • Chest pain or pressure that may radiate to the neck, arm or shoulder
  • Excessive sweating
  • Fatiga o debilidad
  • Náuseas o vómitos
  • Dificultad para respirar
  • Upper abdominal pain

STEMI causes

STEMIs occur when the heart doesn’t receive enough oxygen to function. With a STEMI, oxygen deprivation is caused by a blockage preventing oxygenated blood from reaching the heart.

Blockages that cause a STEMI heart attack are typically related to plaque formation. Plaque is a substance made of cholesterol, fat and other materials, and it can build up along artery walls. When you develop plaque buildup, your doctor may diagnose you with atherosclerosis.

Pieces of plaque can break off and create blood clots, which can block the coronary arteries and lead to STEMI.

STEMI risk factors

Many health conditions and lifestyle factors can increase your risk for STEMI and other types of heart attacks. Unfortunately, you have no control over certain heart attack risk factors. These include age, sex, your family history and your race. However, your lifestyle also plays a large role in your risk, and those factors are well within your control.

Risk factors for STEMI include:

  • Age: Your risk increases as you grow older. On average, STEMIs occur at age 65 or later.
  • Family history: Your risk is higher if your parents had Enfermedad del corazón.
  • Alta presion sanguinea: Long-term high blood pressure damages blood vessels, causing scars where plaque may collect and slow blood flow.
  • Colesterol alto: Too much low-density lipoprotein (LDL) cholesterol can build up inside your arteries and form artery-clogging plaque.
  • Obesity: Excess weight is linked to other STEMI risk factors, such as high blood pressure, high cholesterol and Diabetes.
  • Pre-existing health conditions: Unmanaged chronic conditions, such as diabetes, kidney disease and Artritis reumatoide, increase your heart attack risk.
  • Sex: Males have more heart attacks than females.
  • Smoking: Tobacco use contributes to plaque buildup, increases blood pressure and cholesterol and thickens blood.

Complicaciones

Left untreated, a STEMI heart attack can be fatal. Even when treated properly, this type of heart attack can leave lasting damage to the heart muscle. As a result, you may experience complications, including:

  • Arrhythmias: Injury to your heart’s electrical system can result in an abnormal heartbeat. Your heart may beat irregularly or faster or slower than normal.
  • Insuficiencia cardiaca: Your heart loses its ability to pump enough oxygen-rich blood to your body to maintain optimal health.
  • Mitral valve regurgitation: A STEMI can weaken or damage the heart muscle that deforms the mitral valve, causing blood to flow backward.

Diagnosing STEMI

STEMIs are medical emergencies usually diagnosed and initially treated in an emergency room. When you arrive in an ER, your medical team will perform a clinical evaluation and order diagnostic imaging and blood tests to determine which type of heart attack you’re having.

If these steps do not indicate a STEMI, you may have more tests that help doctors find out what’s causing your symptoms.

Treatment for STEMI

Treating a STEMI heart attack aims to restore blood flow to the heart. Doing this quickly helps protect against further harm to the heart muscle. You may benefit from multiple simultaneous treatment approaches. No matter what treatment your team prescribes, it is most useful when administered quickly. This underlines the need to seek medical care as soon as you recognize heart attack symptoms.

Surgery

An Cardiología intervencionista procedure called angioplasty and percutaneous coronary intervention (PCI) is commonly used to treat STEMI. This procedure must occur within 12 hours of your first symptom and involves the insertion of a thin tube (catheter) through a vein in your wrist or groin. A balloon at the tip of the catheter is inflated to clear the blockage, and a stent is placed to keep the artery open.

Depending on the severity of your blockage, you may benefit from coronary artery bypass grafting (CABG). Also known as bypass surgery, this open-heart procedure reroutes blood around severely blocked arteries.

Locations for STEMI care

Our cardiologists and emergency teams are dedicated to helping you recover from a heart attack as quickly and thoroughly as possible. Find high-quality emergency and follow-up heart care at locations across Texas.

 Baylor Scott & White Cardiovascular Associates - Suroeste de Fort Worth

5701Bryant Irvin Rd Ste 301, Fort Worth, TX, 76132

No se aceptan pacientes sin cita previa

Baylor Scott & White Advanced Heart Failure Clinic -  Abilene

1219 E Sur 11th St Ste B 79602, Abilene, TX, 2

No se aceptan pacientes sin cita previa

Baylor Scott & White Advanced Heart Failure Clinic -  Amarillo

1901 medi park dr ste 2051, amarillo, tx, 79106

No se aceptan pacientes sin cita previa

Baylor Scott & White Advanced Heart Failure Clinic -  Dallas

3410 vale la pena st ste 250, dallas, tx, 75246

No se aceptan pacientes sin cita previa

No se aceptan pacientes sin cita previa

No se aceptan pacientes sin cita previa

No se aceptan pacientes sin cita previa

Baylor Scott & White Advanced Heart Failure Clinic - Tyler

1321 Avenida S. Beckham, Tyler, Texas, 75701

No se aceptan pacientes sin cita previa

No se aceptan pacientes sin cita previa

Baylor Scott & White Centro Médico All Saints - Fort Worth

1400 8th Avenue, Fort Worth, Texas, 76104

Aceptamos visitas sin cita previa

Manejo de arritmias de Baylor Scott & White - Denton

3333 Bulevar Colorado, Denton, Texas, 76210

No se aceptan pacientes sin cita previa

No se aceptan pacientes sin cita previa

Tratamiento de arritmias en Baylor Scott & White - Garland

7217 Telecom Pkwy Ste 205, Garland, TX, 75044

No se aceptan pacientes sin cita previa

Baylor Scott & White Arrhythmia Management - Garland II

7217 Telecom Pkwy Ste 300, Garland, TX, 75044

No se aceptan pacientes sin cita previa

Manejo de arritmias de Baylor Scott & White - Grapevine

2020 Carretera estatal oeste 114 Ste 320 Grapevine, TX, 76051

No se aceptan pacientes sin cita previa

Gestión de arritmias Baylor Scott & White - Highland Village

1401 Shoal Creek Ste 240 Highland Village, TX, 75077

No se aceptan pacientes sin cita previa

Manejo de arritmias de Baylor Scott & White - McKinney

5236 W University Dr. Lugar de nacimiento I, Suite 4900, McKinney, TX, 75071

No se aceptan pacientes sin cita previa

Manejo de arritmias de Baylor Scott & White - Plano

1820 Preston Park Blvd., calle 1450, Plano, TX, 75093

No se aceptan pacientes sin cita previa

Tratamiento de arritmias en Baylor Scott & White - Prosper

111 s preston rd ste 10, prosperar, tx, 75078

No se aceptan pacientes sin cita previa

No se aceptan pacientes sin cita previa

Baylor Scott & White Cirugía cardíaca y torácica - Lubbock

3711 22segundo paso b, lubbock, tx, 79410

No se aceptan pacientes sin cita previa

No se aceptan pacientes sin cita previa

Baylor Scott & White Cirugía cardíaca y torácica - Weatherford

2035 Fort Worth Hwy Ste 100, Weatherford, Texas, 76086

No se aceptan pacientes sin cita previa

Baylor Scott & White Cirugía cardíaca - Dallas

621 N Hall St., calle 120, Dallas, TX, 75226

No se aceptan pacientes sin cita previa

No se aceptan pacientes sin cita previa

Especialistas en cirugía cardíaca de Baylor Scott & White - McKinney

5236 w university dr ste 4900, mckinney, tx, 75071

No se aceptan pacientes sin cita previa

Especialistas en cirugía cardíaca de Baylor Scott & White - Plano

4708 Pabellón I de Alliance Blvd, Ste 540, Plano, TX, 75093

No se aceptan pacientes sin cita previa

Baylor Scott & White Cardiology Consultants de Texas - Dallas

621 N Hall St., calle 500, Dallas, TX, 75226

No se aceptan pacientes sin cita previa

Baylor Scott & White Cardiology Consultants de Texas - Greenville

4400 Interestatal 30 W Ste 300, Greenville, TX, 75402

No se aceptan pacientes sin cita previa

Baylor Scott & White Cardiology Consultants de Texas - Mesquite

1575 Interestatal 30 , Mesquite, TX, 75150

No se aceptan pacientes sin cita previa

No se aceptan pacientes sin cita previa

Baylor Scott & White Cardiology Consultants de Texas - Park Cities

9101 N Central Expy Ste 300C, Dallas, TX, 75231

No se aceptan pacientes sin cita previa

Baylor Scott & White Cardiology Consultants de Texas - Red Oak

301 E Ovilla Rd Ste 100, Red Oak, TX, 75154

No se aceptan pacientes sin cita previa

Baylor Scott & White Cardiology Consultants de Texas - Waxahachie

2360 Interestatal N 35E Ste 110, Waxahachie, TX, 75165

No se aceptan pacientes sin cita previa

Cirugía cardiotorácica de Baylor Scott & White - Irving

1110 álamo en ste 215, irving, tx, 75038

No se aceptan pacientes sin cita previa

Baylor Scott & White Cardiovascular Associates - Fort Worth

1307 8th ave ste 406, fortworth, tx, 76104

No se aceptan pacientes sin cita previa

Consultores cardiovasculares de Baylor Scott & White - Denton

3333 Bulevar Colorado, Denton, Texas, 76210

No se aceptan pacientes sin cita previa

No se aceptan pacientes sin cita previa

Consultores cardiovasculares de Baylor Scott & White - Grapevine

2020 Carretera estatal oeste 114 Ste 200 Grapevine, TX, 76051

No se aceptan pacientes sin cita previa

Consultores cardiovasculares Baylor Scott & White - Highland Village

1401 Shoal Creek Ste 240 Highland Village, TX, 75077

No se aceptan pacientes sin cita previa

No se aceptan pacientes sin cita previa

Consultores cardiovasculares de Baylor Scott & White - Plano

6000 W Spring Creek Pkwy Ste 220, Plano, TX, 75024

No se aceptan pacientes sin cita previa

Consultores cardiovasculares de Baylor Scott & White - Plano II

4708 Alliance Blvd Pabellón I, Ste 450, Plano, TX, 75093

No se aceptan pacientes sin cita previa

Baylor Scott y White Cardiovascular Consultants en The Star

3800 Gaylord Pkwy Ste 910, Frisco, TX, 75034

No se aceptan pacientes sin cita previa

Baylor Scott & White Especialistas cardiovasculares - Mesquite

5308 n galloway ave ste 201, mesquite, tx, 75150

No se aceptan pacientes sin cita previa

Baylor Scott & White Cardiovascular Specialists - Rockwall

6705 Heritage Pkwy Ste 202, Rockwall, Texas, 75087

No se aceptan pacientes sin cita previa

Centro Baylor Scott & White de Cirugía Torácica - Dallas

3410 vale la pena st ste 760, dallas, tx, 75246

No se aceptan pacientes sin cita previa

Centro Baylor Scott & White de cirugía torácica - Rockwall

6701 Heritage Pkwy Ste 130, Rockwall, Texas, 75087

No se aceptan pacientes sin cita previa

Baylor Scott & White Center for Thoracic Surgery - Waxahachie

2480 Interestatal norte 35E , Waxahachie, TX, 75165

No se aceptan pacientes sin cita previa

Baylor Scott & White Clinic - Centro de Austin

200 E Cesar Chavez St Ste G140, Austin, TX, 78701

No se aceptan pacientes sin cita previa

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