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