AMI complications - long term

Question 1

4 long term complications - one is a syndrome

Answer 1

heart failure
dresslers
pericarditis
ventricular aneurysm

Question 2

Heart failure

• ? is most common cause of left heart failure
• often leads to secondary ???

Answer 2

IHD

right heart failure

Question 3

Dressler’s syndrome

• ?-? pericarditis - ass w high ? and sometimes anti-myocardial ab’s
• develops in ? number of cases, 2-? months after
• pericarditis gives ? chest pain, relieved by ? ?, worse on ? or movement

Answer 3

imm med
esr
low
2-10
sharp
sitting forward
lying down

Question 4

Dressler’s syndrome

• o/e - classical pericardial ? ? at the ???? with pt leaning forward
• may also be pericardial ?, leads to ? if compresses adjacent bronchi
• tx - high dose ? or ?

Answer 4

friction rub
LLSE
effusion
sob
aspirin
nsaids

Question 5

? (non-imm-med) can occur anytime after MI, this is ? common than Dressler’s
Tx - ? for the pain

Answer 5

pericarditis, more

opioids

Question 6

Ventricular aneurysm formation

• gradual ? of infarcted part of wall, which has been replaced by ? scar
• aneurysmal ? will lead to cardiac ? and death

Answer 6

distension
collagen
rupture
tamponade