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Final Notes > FN: MI complications > Flashcards

FN: MI complications Flashcards

1
Q

MI complications

A

Death Passing PRAED st.

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2
Q

D

A

Death

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3
Q

P

A

Pericarditis

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4
Q

P

A

Pump failure

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5
Q

R

A

Rupture: myomalacia cordis

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6
Q

A

A

Arrythmias, Aneurysm

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7
Q

E

A

Embolism

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8
Q

D

A

Dressler’s syndrome: pleuro=pericarditis

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9
Q

DEath from

A

VF
LVF
CVA

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10
Q

Pericarditis presentation

A
  1. Occurs early
  2. Mild fever
  3. Central chest pain/change in pain
  4. Relieved by sitting forward
  5. Pericardialfriction rub
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11
Q

Pericarditis ECG shows

A

Saddle-shaped ST elevation

±PR depression

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12
Q

Pericarditis treatment

A

NSAIDS: ibuprofen

Echo to exclude effusion

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13
Q

Rupture

A

Myomalacia cordis

  1. Cardiac tamponade
  2. Papillary muscle/chordae –> MR: PSM, pulmonary oedema
  3. Septum: PSM, raised JVP, HEart failure
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14
Q

Cardiac tamponade

A

Left ventricular free wall rupture

  1. Becks triad
  2. Pulsus paradoxus
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15
Q

Becks triad

A

Dropped BP
Raised JVP
Muffled heart sounds

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16
Q

Arrythmias type
Tachy types
Brady types

A

Tachy:

  1. SVT
  2. Ventricular

Brady:

  1. Sinus bradycardia
  2. AV block
  3. Ventricular bradycardia
17
Q

SVT

A

Sinus tachycardia - give Oxygen + analgesia

AF or flutter - comprimised - DC cardioversion or rate control - digoxin ± beta-blocker

18
Q

Ventricular

A
  1. Frequent PVC common after acute MI: no Rx
  2. Sustained VT
    a. Comprimised - DC cardioversion
    b. Else - amiodarone or lignocaine
    c. May need pacing
  3. VF
    a. Early (48 hrs): extensive heart damage
    c. Rx: DC shock
19
Q

Bradycardia

A

Sinus bradycardia

  1. esp. in inferior MI
  2. Rx: atropine 0.6-1.2mg

AV block - pace mobitz II
Ventricular bradycardia - suggests SA and AV node damage

20
Q

Aneurysm: ventricular presentation

A 
4-6 weeks
LVF
Angina
Recurrent VT
Systemic emboli
21
Q

Aneurysm ECG

A

persistent ST elevation

22
Q

Aneurym: ventricular Rx

A

Anticoagulate

Consider Excision

23
Q

Embolism description

A

Arise from LV mural thrombus

consider warfarin for 3mo after large anterior MI

24
Q

Dresslers syndrome

A

pleuro pericarditis - due to auto-antibodies vs. myocyte sarcolemma

25
Q

Dresslers syndrome presentation

A 
2-6weeks
Recurrent pericarditis
Pleural effusions
Fever
Anaemia
raised ESR
26
Q

Treatment

A

NSAIDS

Steroids if severe

Final Notes (196 decks)

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