Timeline - post IM complications Flashcards
1
Q
Papillary mm rupture
A
5-10 days post MI
Due to weakening of necrotic myocardium as macrophages degrade structural tissue and form weak granulation tissue
2
Q
Arrhythmias
A
2 days post-MI
3
Q
Chronic CHF
A
Months after MI
4
Q
Dressler syndrome (autoimmune pericarditis)
A
Several weeks post MI
5
Q
True ventricular aneurysms
A
several weeks post MI
6
Q
What part of the heart is most likely affected in myocardial rupture after an MI?
A
LV (lower 1/3 of anterior wall)
Often occurs during 1st week when myocardial necrosis is at a max
7
Q
LV free wall rupture
A
5-14 days post MI
Rupture –> hemopericardium and cardiac tamponade –> profound hypotension and shock –> death
8
Q
Most freq complication of fibrinolytic therapy?
A
bleeding (GI, intracranial)
