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Flashcards in FN: MI complications Deck (26):
1

MI complications

Death Passing PRAED st.

2

D

Death

3

P

Pericarditis

4

P

Pump failure

5

R

Rupture: myomalacia cordis

6

A

Arrythmias, Aneurysm

7

E

Embolism

8

D

Dressler's syndrome: pleuro=pericarditis

9

DEath from

VF
LVF
CVA

10

Pericarditis presentation

1. Occurs early
2. Mild fever
3. Central chest pain/change in pain
4. Relieved by sitting forward
5. Pericardialfriction rub

11

Pericarditis ECG shows

Saddle-shaped ST elevation
±PR depression

12

Pericarditis treatment

NSAIDS: ibuprofen
Echo to exclude effusion

13

Rupture

Myomalacia cordis
1. Cardiac tamponade
2. Papillary muscle/chordae --> MR: PSM, pulmonary oedema
3. Septum: PSM, raised JVP, HEart failure

14

Cardiac tamponade

Left ventricular free wall rupture
1. Becks triad
2. Pulsus paradoxus

15

Becks triad

Dropped BP
Raised JVP
Muffled heart sounds

16

Arrythmias type
Tachy types
Brady types

Tachy:
1. SVT
2. Ventricular

Brady:
1. Sinus bradycardia
2. AV block
3. Ventricular bradycardia

17

SVT

Sinus tachycardia - give Oxygen + analgesia
AF or flutter - comprimised - DC cardioversion or rate control - digoxin ± beta-blocker

18

Ventricular

1. Frequent PVC common after acute MI: no Rx
2. Sustained VT
a.Comprimised - DC cardioversion
b. Else - amiodarone or lignocaine
c. May need pacing

3. VF
a. Early (48 hrs): extensive heart damage
c. Rx: DC shock

19

Bradycardia

Sinus bradycardia
1. esp. in inferior MI
2. Rx: atropine 0.6-1.2mg

AV block - pace mobitz II
Ventricular bradycardia - suggests SA and AV node damage

20

Aneurysm: ventricular presentation

4-6 weeks
LVF
Angina
Recurrent VT
Systemic emboli

21

Aneurysm ECG

persistent ST elevation

22

Aneurym: ventricular Rx

Anticoagulate
Consider Excision

23

Embolism description

Arise from LV mural thrombus
consider warfarin for 3mo after large anterior MI

24

Dresslers syndrome

pleuro pericarditis - due to auto-antibodies vs. myocyte sarcolemma

25

Dresslers syndrome presentation

2-6weeks
Recurrent pericarditis
Pleural effusions
Fever
Anaemia
raised ESR

26

Treatment

NSAIDS
Steroids if severe

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