Clinical Complications of MI 2/27
1. what type of infarcts do most acute MI complications occur with: transmural infarct
2. what do early complications of acute MI result from: necrosis
3. what do later complications of acute MI result from: healing processes
4. pericardial complications of acute MI: pericarditis
5. electrical complications of acute MI: rhythm disturbances
6. mechanical complications of acute MI: papillary muscle ischemia/infarction/rupture
ventricular septal rupture
free wall rupture
7. muscular complications of acute MI: heart failure
aneurysm
pseudoaneurysm
8. clinical features of pericarditis: sharp pleuritic pain, positional and varies with respiration
1/4
, fever
pericardial friction rub
9. diagnosis of pericarditis after acute MI: diffuse ST segment elevation not in vascular distribution
PR depression
PR elevation
10. treatment of pericarditis: anti inflam: high dose aspirin, colchicine
11. treatment of 2nd degree av block type 1: does not require treatment
12. treatment of 2nd degree av block type 2: temporary pacemaker
13. treatment of 3rd degree av block in inferior MI: temporary pacemaker
14. treatment of 3rd degree ave block in anterior MI: permanent pacemaker
15. what is inferior MI due to: AV node ischemia
16. recovery of inferior MI: almost always because it has dual blood supply
10-15% mortality
17. what anterior MI due to: massive necrosis of septum and his purkinje system
2/4
1. what type of infarcts do most acute MI complications occur with: transmural infarct
2. what do early complications of acute MI result from: necrosis
3. what do later complications of acute MI result from: healing processes
4. pericardial complications of acute MI: pericarditis
5. electrical complications of acute MI: rhythm disturbances
6. mechanical complications of acute MI: papillary muscle ischemia/infarction/rupture
ventricular septal rupture
free wall rupture
7. muscular complications of acute MI: heart failure
aneurysm
pseudoaneurysm
8. clinical features of pericarditis: sharp pleuritic pain, positional and varies with respiration
1/4
, fever
pericardial friction rub
9. diagnosis of pericarditis after acute MI: diffuse ST segment elevation not in vascular distribution
PR depression
PR elevation
10. treatment of pericarditis: anti inflam: high dose aspirin, colchicine
11. treatment of 2nd degree av block type 1: does not require treatment
12. treatment of 2nd degree av block type 2: temporary pacemaker
13. treatment of 3rd degree av block in inferior MI: temporary pacemaker
14. treatment of 3rd degree ave block in anterior MI: permanent pacemaker
15. what is inferior MI due to: AV node ischemia
16. recovery of inferior MI: almost always because it has dual blood supply
10-15% mortality
17. what anterior MI due to: massive necrosis of septum and his purkinje system
2/4
