L4: IHD - MI (Pt 1)

Question 1

Def of Acute MI

Answer 1

Ischemic necrosis of part of the cardiac muscle due to
- sudden, persistent & complete cessation of its blood supply

Question 2

Etiology of Acute MI

Answer 2

Question 3

Types of Acute MI

• Acc to site

Answer 3

Question 4

Pathology of Acute MI

Answer 4

Question 5

CP of Acute MI

Answer 5

Question 6

CP of Acute MI

• Symtoms

Answer 6

Question 7

Causes of Painless Infarction

Answer 7

Question 8

CP of Acute MI

• Signs

Answer 8

Question 9

Signs of Acute MI

• Symp Activation

Answer 9

• Pallor
• sweating
• nausea & vomiting
• fever.

Question 10

Signs of Acute MI

• Pulse

Answer 10

Question 11

Signs of Acute MI

• BP

Answer 11

Question 12

Signs of Acute MI

• Ausculatation

Answer 12

Question 13

Signs of Acute MI

• Neck

Answer 13

Question 14

DDx of MI

Question 15

DDx of MI

• IHD

Answer 15

Question 16

DDx of MI

• Non IHD

Answer 16

Question 17

DDx of MI

• Pulmonary Diseases

Answer 17

Question 18

DDx of MI

• GIT

Answer 18

Question 19

DDx of MI

• Chest Wall / Dermatologic Pain

Answer 19

Question 20

DDx of MI

• Anxiety Disorders

Answer 20

Question 21

Complications of Acute MI

Question 22

Complications of Acute MI

• early

Answer 22

Question 23

Early Complications of Acute MI

Answer 23

Question 24

Early Complications of Acute MI

• Shock

Answer 24

Question 25

Early Complications of **Acute MI** - Cardiogenic Shock (Etiology, CP, TTT, Prognosis)

Answer 25

Question 26

Early Complications of **Acute MI** - Neurogenic Shock (Etiology, CP, TTT, Prognsosis)

Answer 26

Question 27

Early Complications of **Acute MI** - Acute HF

Answer 27

Question 28

Early Complications of **Acute MI** - Arrhythmia

Answer 28

* All types may occur. * The most serious are: VT / CH

Question 29

Early Complications of **Acute MI** - Myocardial Ruture

Answer 29

Question 30

Early Complications of **Acute MI** - Dry Pericarditis

Answer 30

Hemorrhagic pericardial effusion may develop especially - with thrombolytic therapy

Question 31

Early Complications of **Acute MI** - Sudden Death

Answer 31

1. Arrhythmia (VT, VF): most deaths occur during few hours after MI. 2. Acute heart failure. 3. Cardiogenic shock. 4. Cardiac rupture.

Question 32

Late Complications of **Acute MI**

Answer 32

Question 33

Late Complications of **Acute MI** - Post MI Syndrome (Dressler Syndrome)

Answer 33

Question 34

Late Complications of **Acute MI** - Post MI Angina

Answer 34

Question 35

Late Complications of **Acute MI** - Myocardial Aneurysm (On Ex, ECG, Fate)

Answer 35

Question 36

Late Complications of **Acute MI** - Thrombo-embolism

Answer 36

Question 37

Late Complications of **Acute MI** - Frozen Shoulder

Answer 37