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What is an Infarct?

Published in Medical Pathology 3 mins read

An infarct is an area of necrosis (tissue death) in an organ or tissue caused by a blockage of local blood circulation. This blockage usually results from a thrombus (blood clot) or embolus (traveling clot).

Understanding Infarcts

Here's a breakdown of what an infarct means and its key characteristics:

  • Necrosis: The fundamental problem in an infarct is necrosis. This refers to the death of cells or tissue because of insufficient blood supply.
  • Blood Circulation Obstruction: This occurs when blood flow is significantly reduced or completely stopped to a certain area. This can be due to:
    • Thrombus: A blood clot that forms inside a blood vessel, impeding blood flow at that location.
    • Embolus: A detached thrombus, or any foreign mass (like air or fat), that travels through the bloodstream and lodges in a smaller vessel, thus blocking blood flow.
  • Location Specific: The location of the infarct depends on which blood vessel is blocked. This can occur in various organs, including the heart (myocardial infarct, commonly known as a heart attack), the brain (cerebral infarct or stroke), the lungs (pulmonary infarct), the kidneys (renal infarct), and the intestines (intestinal infarct).

Key Aspects of Infarcts


Feature Description
Cause Obstruction of blood flow due to thrombus or embolus
Effect Tissue necrosis (cell death)
Location Can occur in various organs (heart, brain, lungs, kidneys etc.)
Consequence Impairment of organ function


Example of an Infarct

A common example of an infarct is a myocardial infarction or heart attack. In this case, a thrombus blocks a coronary artery, preventing oxygen-rich blood from reaching a section of the heart muscle. This lack of oxygen leads to necrosis of the heart tissue, which can impair the heart's function.

Clinical Implications

The clinical implications of an infarct depend largely on its size and location. Some common implications include:

  • Organ Dysfunction: Infarcts typically cause a loss of function in the affected organ.
  • Pain: Depending on the location, pain can be a significant symptom.
  • Long-Term Damage: In many cases, infarcted tissue is replaced by scar tissue, which can permanently impact organ function.

Treatment

Treatment for infarcts often focuses on restoring blood flow, managing symptoms, and preventing further complications, which may include:

  • Thrombolytics (clot-dissolving drugs) to break up the thrombus or embolus.
  • Angioplasty or stenting to mechanically open the blocked blood vessel.
  • Medications to manage pain, blood pressure and prevent future clots.

In summary, an infarct represents a serious medical condition where tissue death occurs due to circulatory obstruction, often involving a thrombus or embolus, according to the reference that defines it as "an area of necrosis in a tissue or organ resulting from obstruction of the local circulation by a thrombus or embolus." It's crucial to recognize the signs and seek prompt medical attention for diagnosis and treatment.

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