Cardiology

Question 1

how would dresslers syndrome present

Answer 1

2-6 weeks post MI with persistent ST elevation, pleuritic chest pain, pericardial effusion and increased ESR

Question 2

how do you treat dressler’s syndrome

Answer 2

NSAIDS

Question 3

how would ventircular free wall rupture present

Answer 3

3% of MI complications, present with large pericardial effusion and becks triad and acute heart failure , increased JVP, pulsus paradoxus and muffled heart sounds, urgent thoracotomy/pericardiocentesis

Question 4

how would left ventricular aneurysm present

Answer 4

complication of MI, present with persistent ST elevation and LV failure, thrombus may form within the aneurysm so anticoagulate them

Question 5

what murmur would a ventricular septal defect produce

Answer 5

pan systolic murmur

Question 6

when would a VSD following an MI tend to present

Answer 6

within the first week

Question 7

how would acute mitral regurgitation following an MI present

Answer 7

more common in infero-posterior infarction and may be due to ischaemia or rupture of the papillary muscle . acute hypotension and pulmonary oedema may occur. an early to mid-systolic murmur is typically heard