Flashcards in post MI complications Deck (23)
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1
how to tx PVCs?
do not generally tx them, but can correct electrolytes & use beta blocker
2
what type of arrhytmia can you see after successful reperfusion?
Accelerated idioventricular rhythm
3
VT induced by ischemia is typically polymorphic or monomorphic?
polymorphic
4
monomorphic VT is assc'd with?
VT resulting from scar
5
Late VT/VF: >48 hrs after MI associated with ________________following discharge
Late VT/VF: >48 hrs after MI associated with increased risk of sudden cardiac death following discharge
6
what is the strongest predictor of heart failure?
ejection fraction
7
EF less than _____ incr risk of sudden cardiac death
35%
8
most common post MI complication
arryhtmias
9
should you give beta blockers to someone in post acute pahse of MI?
no, wait until pt is compensated
10
primary tx for post acute phase MI?
diuretic, ACE inhib, aldosterone antag
11
cardioembolism most commonly seen with what type of MI?
anterior wall
12
how to tx early pericarditis?
ASA + colchicine
13
which drugs need to be avoided in early pericarditis?
NSAIDS, steroids
14
what is dresslers syndrome?
late pericarditis
15
what mediates dresslers syndrome?
autoimmune mechanism post MI
16
what sort of murmur do VSD patients present with?
harsh, holosystolic murmur on LLSB with THRILL, S3 present, loud P2, TR
17
Older pts, Females, H/O HTN; First MI, Delayed or absent reperfusion with harsh holosystolic murmur on LLSB
VSD
18
acute mitral regurg occurs after what type of MI?
inferior wall
19
which muscle is typically involved in thos that develop acute mitral regurg?
posteriomedial papillary muscle
20
____ may present with thrill, _____does not present with thrill
VSD, acute mitral regurgitation
21
sudden hemodynamic collapse, cardiac tamponade, PEA arrest; may have transient bradycardia before rupture & will be restless, nauseas, anxious before event
acute free wall rupture
22
contained rupture, present with pericardial pain, hypotension
subacute free wall rupture
23
