Complications of ACS Flashcards
Mechanical complications of an MI
spatial wall rupture
free wall rupture
Papillary muscle rupture symptoms
sudden severe SOB
autonomic activation (sweating nausea vomitting)
chest pain
Papillary muscle rupture signs
shock
tachycardia
pulmonary oedema
new harsh systolic murmur
right parasternal heave
Papillary muscle rupture investigations
echo
cath lab
Papillary muscle medicine
medical management is only temporary
IV nitrates
Iontropes
IABP (balloon pump)
Papillary muscle rupture needed
urgent surgery is usually needed
mitral valves replaced rather than repaired
Two main types of life threatening MI complications
mechanical complication
ventricular arrhythmic complication
Ventricular arythmie complications include
ventricular tachycardia
ventricular fibrillation
ventricular tachycardia can be driven by
ischaemia or myocardial damage
ventricular fibrillation
irregular, ineffectual ventricular fibrillating activity