Ischemic Dx Part 3 Flashcards
What is Dressler’s Syndrome?
Immune mediated Pericarditis that occurs after damage to heart tissue
When could Dressler’s Syndrome occur?
1-12 weeks
How does RV Infarction present?
HoTN with LV function in tact
If someone has RV Infarction, would it be appropriate to give morphine or nitrates?
No! RV infarcation occurs with HoTN- Morphine and Nitrates would worsen the low BP
How to treat HoTN with RV Infarction
IV NS bolus and continuous
OR
Inotropic agents
Ventricular Free-Wall Rupture is MC in which ventricle and which walls?
In LV-Anterior or Lateral Walls
Ventricular Free- Wall Rupture is MC with what age group? What dx?
Elderly
First MI
When will Ventricular Free Wall Rupture occur?
MC in first 24 hours
(Can occur in 1-4 days)
How might ventricular free wall rupture present?
Pericardial Effusion or Pulseless Electrical Activity
T/F: Post-MI Ventricular Septal Defect is a relatively common post-MI complication
FALSE, it is rare
What complication is associated with Transmural MI?
Post-MI Ventricular Septal Defect
T/F: Acute Mitral regurgitation from ruptured papillary muscle is a relatively common post-MI complication
FALSE, it is rare
When does Acute Mitral regurgitation from ruptured papillary muscle typically occur?
2-7 days post MI
How does Acute Mitral regurgitation from ruptured papillary muscle present?
Presents as sudden onset decompensated heart failure
After a transmural infarction occurs and remodeling starts, what complication can happen?
LV Aneurysm
T/F: LV Aneurysm is symptomatic
False! Usually found incidentally on f/u echo
Follow up with MI should be scheduled when?
With Cardio AND PCP within 4-6 weeks
IF acute STEMI, then need to be seen within 1-2 weeks
Heart recovery exercise recommendations
150 min/weekly of moderate intense physical activity
75 min/weekly of high intense physical activity
T/F: Depression after an MI can cause an increased risk of having another MI
True
When pt can have sex after UNcomplicated MI
About 1 week after if they have no cardiac sx
When pt can have sex after complicated MI
About 2-3 weeks after if they have no cardiac sx
