Table 1.
Risk factors for specific types of AMI
| Pathogenesis of AMI | ||||
|---|---|---|---|---|
| Acute mesenteric arterial embolism | Acute mesenteric arterial thrombosis | NOMI | Mesenteric venous thrombosis | |
| Risk factors |
Atrial fibrillation recent MI cardiac thrombi Mitral valve disease Left ventricular aneurysm Endocarditis Previous embolic disease |
Diffuse atherosclerotic disease Postprandial pain Weight loss |
Cardiac failure Low flow states Multiorgan dysfunction Vasopressors Abdominal compartment syndrome |
Portal hypertension history of VTE Oral Contraceptives Estrogen use Thrombophilia Pancreatitis |
| Clinical onset | Sudden strong abdominal pain, vomiting | Progressive or sudden abdominal pain, vomiting, diarrhea and/or melena | Progressive pain, mild | Nonspecific GI symptoms, abdominal distension, worsening of general condition |
| Vascular involvement | Main artery or branches of SMA | Celiac trunk, SMA, IMA origins | Superior mesenteric vein, progression to portal vein | Stenosis of SMA |
AMI Acute mesenteric ischemia; NOMI Non-occlusive mesenteric ischemia; MI Myocardial infarction; SMA Superior mesenteric artery; IMA Inferior mesenteric artery; GI Gastrointestinal; and VTE Venous thromboembolism