Myocardial Infarction Complications

Question 1

Timing & presentation of arrhythmias post-MI

Answer 1

• immediate to days
• brady/tachyarrhythmias, AV block

Question 2

Timing & presentation of HF post-MI

Answer 2

days to weeks
dyspnoea, crackles, oedema

Question 3

Timing & presentation of cardiogenic shock post-MI

Answer 3

immediate to hours
hypotension, cold peripheries

Question 4

Timing & presentation of pericarditis post-MI

Answer 4

1-4 days
Pleuritic chest pain, pericardial rub

Question 5

Timing & presentation of Dressler’s syndrome post-MI

Answer 5

1-8 weeks
Fever, pleuritic chest pain, pericardial effusion

Question 6

Timing & presentation of papillary muscle rupture post-MI

Answer 6

2-7 days
Acute mitral regurgitation -> pulmonary oedema, shock

Question 7

Timing & presentation of ventricular septal rupture post-MI

Answer 7

3-7 days
new murmur, biventricular failure

Question 8

Timing & presentation of free wall rupture post-MI

Answer 8

3-7 days
Sudden tamponade, PEA arrest

Question 9

Timing & presentation of left ventricular aneurysm post-MI

Answer 9

weeks to months
Persistent ST elevation, HF

Question 10

Timing & presentation of mural thrombus post-MI

Answer 10

days to weeks
stroke or systemic emboli

Question 11

Timing & presentation of reinfarction post-MI

Answer 11

Hours to days
Recurrent chest pain, troponin rise