AMI - listening?

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zman

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Alright, so this may seem like a dumb question but i was kinda day dreaming the other day and was like--we can see how a AMI looks physically with patient presentation and electrically via the monitor.

Although what i want to know, Is it possible to hear a MI if your listening through a stethescope?


I am still quite new to this but i would like to hear what other people know, or think.

-zman
 
zman said:
Alright, so this may seem like a dumb question but i was kinda day dreaming the other day and was like--we can see how a AMI looks physically with patient presentation and electrically via the monitor.

Although what i want to know, Is it possible to hear a MI if your listening through a stethescope?


I am still quite new to this but i would like to hear what other people know, or think.

-zman
Click to expand...

No you cannot. Maybe Superman with his super hearing, but not us humans.
 
While you cannot hear the actual occlusion, you may here rales over the lungs or murmurs if regurgitation or a septal defect occurs from the MI.
 
Cardiac enzymes via serial blood draws will let you "see" markers of a myocardial infarction(MI, or heart attack). A cardiac catherization will allow the MD physically see the occlusion(blockage of an artery in the heart) via dye running through the coronary arteries. If it's an interventional cath facility and not a diagnostic one, the occlusion can be managed on the spot.
 
A 12 lead can show you where the suspected insult is by which leads are showing changes, and one can infer which artery - LAD, circumflex, RCA, etc. is affected. But, you show the same 12 to five different cardiologists, and you'll get five different interpretations.
 
daedalus said:
While you cannot hear the actual occlusion, you may here rales over the lungs or murmurs if regurgitation or a septal defect occurs from the MI.
Click to expand...

True. But AMI's can happen without those sounds manifesting themselves, and a pt can have them without having an AMI. Which is why I said "no". Not being argumenative, just clarifying.
 
MSDeltaFlt said:
True. But AMI's can happen without those sounds manifesting themselves, and a pt can have them without having an AMI. Which is why I said "no". Not being argumenative, just clarifying.
Click to expand...

Absolutely, and these sounds cannot even be use to diagnose or rule out MI. They are just findings that may be present, I thought I might mention them to expand the OP's knowledge. But again, you are completely correct, you cannot hear an MI or use incidental findings on auscultation to Dx one.
 
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haha yea thats what i figured. but i was curious so i figured i would ask. and if superman could hear it...what do you think it would sound like? haha jk.
Thanks for all the quick responses.

-zman
 
daedalus said:
Absolutely, and these sounds cannot even be use to diagnose or rule out MI. They are just findings that may be present, I thought I might mention them to expand the OP's knowledge. But again, you are completely correct, you cannot hear an MI or use incidental findings on auscultation to Dx one.
Click to expand...

Just making sure we were on the same page.

zman said:
haha yea thats what i figured. but i was curious so i figured i would ask. and if superman could hear it...what do you think it would sound like? haha jk.
Thanks for all the quick responses.

-zman
Click to expand...

You're very welcome.
 
I can hear a MI with my stethoscope. Each cell crying for oxygen screams my name. Honest. :unsure:
 
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