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Flashcards in post MI complications Deck (23):
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

mechanisms of intraaortic balloon pump: ______coronary blood flow during diastole & _____afterload during systole by _______at systole onset

Augments coronary blood flow during diastole
Decreases afterload during systole by deflating at the onset of systole