Myocardial Intestinal: Have You Heard of This Problem?

Infarct of the bowel has no cure, however in need of urgent treatment when it occurs. Learn what the causes, symptoms and consequences for the patient.

The myocardial intestinal is responsible for about 0.5% of the hospitalizations and is characterized by being the death of a part of the fabric of the bowel, due to lack of blood supply, when a blood clot clogs a blood vessel. When there is a lack of blood and oxygen, the tissue will eventually die leaving of the exercise of its functions and affecting all organs.

With the name of the thrombosis intestinal or mesenteric ischemia, there is a swelling in the affected area, due to the gases accumulated produced and proliferados by the bacteria. This ischemia can occur gradually, which gives the name of mesenteric ischemia, chronic, or sudden, call mesenteric ischemia acute. When this swelling is too much, this part of the intestine eventually break, releasing the blood, causing an infection very serious.

For this reason, and although this problem has no cure, the diagnosis must be made so brief, a time when there is rupture of the intestine and if you install a severe case of the infection, the situation becomes difficult to revert.

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The symptoms can arise suddenly or can develop slowly over several days, depending on the size of the affected region, as well as the severity of the obstruction. The most common for this type of stroke are:

  • Abdominal pain, which worsens over time;
  • Sensation of swelling in the belly;
  • Nausea and vomiting;
  • Fever above 38 ° c;
  • Diarrhoea with blood in the stool;
  • Weight loss.

Unlike other types of infarction, such as myocardial infarction or infarct cerebral infarct of the bowel is not an emergent situation, since the average number of days of symptomatology is between 5-14 days, with intervals.

However, if the abdominal pain is very intense and does not improve after 3h, the trip to the hospital is required with the aim of confirm the physician diagnosis of myocardial intestinal and start as soon as possible the treatment, to avoid that a large portion of the intestine is affected.


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An infarction of the bowel is always derived from a set of other issues that culminate in this. Is a hypercoagulable blood, which means that there is a tendency to increased formation of clots in the blood; due to damage or infection in the walls of the blood vessels in this area or even due to the slowness or interruption of the blood flow for unknown reasons; all of them can lead to heart attack.

However, this is a pathology serious but very rare that there may be more pronounced in people with:

  • Over the age of 60 years;
  • High levels of cholesterol;
  • Ulcerative colitis or Crohn’s disease;
  • Cancer of the digestive system;
  • Use of the pill contraceptive, in the case of women.


Before beginning any treatment, it is indispensable to be seen by a physician and make a clinical diagnosis is as accurate as possible, so that you can opt for the treatment but effective, according to the causes of myocardial bowel, the symptoms and the patient himself.

So that the physician can then make the diagnosis, you should ask the various examinations, within which, magnetic resonance, ultrasound, X-ray and blood tests, are sometimes necessary to conduct an endoscopy or colonoscopy, to screen for other diseases of the digestive system such as ulcers and apendicites.

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Once you’ve found the cause and a diagnosis made, it is essential to get as quickly as possible the treatment. This is based on minimizing the myocardial bowel and reduce the extent of affected tissue.

The initial treatment is anticoagulation, and sometimes this already decreases the mortality of heart attack from 50% to 0%. This anticoagulation is made by the administration of heparin and, consequently, warfarin. Also, the surgery is almost always performed to remove the clot and restore the blood circulation, in addition to removing the portion of the intestine that was affected.


One of the sequels most uncomfortable associated with myocardial bowel, is the need to perform an ostomy. After the treatment, and the surgery, and depending on the amount of intestine that was affected, not always it is possible to join the intestine after being taken a part.

Thus, it is sometimes necessary to make this connection in a special way, joining the intestine with the skin, through the use of a small pouch, which the patient easily gets used.

Also due to the removal of part of the intestine, develops the syndrome of the colon short, which causes a decrease in the absorption of vitamins and minerals, and that requires a diet more rigid and peculiar.

The use of this pouch can be reversed, years later, when the intestine is already back healthy, however it is not a surgery advised once that this problem, as has already been said, mostly affects the elderly, and this surgery is considered risky.

Therefore, it is important not to forget that the medical monitoring is indispensable, to be taken the best decisions for the well-being of the patient.