Complications of MI Flashcards
1
Q
What are some complications of MI?
A
Cardiac arrest Cardiogenic shock LVF Bradyarrhythmias Tachyarrhythmias RVF Pericarditis Systemic embolism Cardiac tamponade Mitral regurgitation VSD Dressler's syndrome Left ventricular aneurysm
2
Q
Give some bradyarrhythmias
A
Sinus bradycardia 1st degree AV block Wenckebach penozenon (Mobitz type I) Mobitz type II Complete AV block Bundle branch block
3
Q
Give some tachyarrhythmias
A
Sinus tachycardia SVT AF or flutter VT Ventricular fibrillation
4
Q
How does RVF present?
A
Low cardiac output and raised JVP
Avoid vasodilators and diuretics
5
Q
How does pericarditis present? On ECG? Treatment?
A
Central chest pain, relieved by sitting forwards
Saddle shaped ST elevation
NSAIDs
6
Q
How does cardiac tamponade present? Treatment?
A
Low cardiac output
Pulsus paradoxus - abnormally large fall in systolic BP during inspiration
Kussmaul’s sign - JVP rises during inspiration
Muffled heart sounds
Pericardial aspiration, surgery
7
Q
How does VSD present?
A
Pansystolic murmur
Raised JVP
Cardiac failure
8
Q
What is Dressler’s syndrome?
A
Recurrent pericarditis, pleural effusions, fever, anaemia dn raised ESR post-MI
