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These procedures may be useful in confirming causes of AMI, whether it is due to coronary ischemia or myocarditis [12], and in addition, catheterization provides the opportunity of opportunity of revascularization therapy.
One of the most common causes of AMI is embolic arterial occlusion, implicated in up to 50% of cases, typically involving the superior mesenteric artery ( SMA ) just distal to the middle colic artery origin.
Arterial and venous thromboembolisms are the main causes of AMI [1], [2].
Other rare causes of AMI during pregnancy are emboli, vasculitis, myocarditis, connective tissue diseases, Ehlers-Danlos syndrome, pheochromocytoma, and sickle cell anemia [ 7– 9].
Therefore, characterization of a composite afferent signal following knee joint injury or surgery would help develop a better understanding the sensory response to joint injury and possibly explain potential underlying causes of AMI.
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AMI often strikes with no warning, as atherosclerosis, a sentinel cause of AMI, has no symptoms.
Malignant encasement and narrowing of the mesenteric arteries is another uncommon cause of AMI (Fig. 11).
Another potential, albeit less common cause of AMI is dissection of a splanchnic artery, often as a continuation of aortic dissection.
Overall, the most common cause of AMI in children is anomalous origin of the left coronary artery, which may present in the neonatal period with unexplained sudden death, or later with persistent irritability, or evidence of heart failure.
Knee joint effusion is an established cause of AMI, with experimental joint infusion leading to immediate decreases in quadriceps strength and muscle activation that can be reversed or prevented by the intra-articular injection of local anaesthethic.
A number of experimental studies [ 10– 12] have demonstrated that joint effusion is an important cause of AMI, with immediate reductions in quadriceps peak torque, electromyography (EMG) amplitude and H-reflex amplitude observed following the infusion of normal saline into healthy, uninjured knee joints.
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