Complications of ACS Flashcards

1
Q

Mechanical complications of an MI

A

spatial wall rupture

free wall rupture

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2
Q

Papillary muscle rupture symptoms

A

sudden severe SOB

autonomic activation (sweating nausea vomitting)

chest pain

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3
Q

Papillary muscle rupture signs

A

shock

tachycardia

pulmonary oedema

new harsh systolic murmur

right parasternal heave

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4
Q

Papillary muscle rupture investigations

A

echo

cath lab

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5
Q

Papillary muscle medicine

A

medical management is only temporary

IV nitrates

Iontropes

IABP (balloon pump)

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6
Q

Papillary muscle rupture needed

A

urgent surgery is usually needed

mitral valves replaced rather than repaired

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7
Q

Two main types of life threatening MI complications

A

mechanical complication

ventricular arrhythmic complication

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8
Q

Ventricular arythmie complications include

A

ventricular tachycardia

ventricular fibrillation

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9
Q

ventricular tachycardia can be driven by

A

ischaemia or myocardial damage

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10
Q

ventricular fibrillation

A

irregular, ineffectual ventricular fibrillating activity

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