post MI complications

Question 1

how to tx PVCs?

Answer 1

do not generally tx them, but can correct electrolytes & use beta blocker

Question 2

what type of arrhytmia can you see after successful reperfusion?

Answer 2

Accelerated idioventricular rhythm

Question 3

VT induced by ischemia is typically polymorphic or monomorphic?

Answer 3

polymorphic

Question 4

monomorphic VT is assc’d with?

Answer 4

VT resulting from scar

Question 5

Late VT/VF: >48 hrs after MI associated with ________________following discharge

Answer 5

Late VT/VF: >48 hrs after MI associated with increased risk of sudden cardiac death following discharge

Question 6

what is the strongest predictor of heart failure?

Answer 6

ejection fraction

Question 7

EF less than _____ incr risk of sudden cardiac death

Answer 7

35%

Question 8

most common post MI complication

Answer 8

arryhtmias

Question 9

should you give beta blockers to someone in post acute pahse of MI?

Answer 9

no, wait until pt is compensated

Question 10

primary tx for post acute phase MI?

Answer 10

diuretic, ACE inhib, aldosterone antag

Question 11

cardioembolism most commonly seen with what type of MI?

Answer 11

anterior wall

Question 12

how to tx early pericarditis?

Answer 12

ASA + colchicine

Question 13

which drugs need to be avoided in early pericarditis?

Answer 13

NSAIDS, steroids

Question 14

what is dresslers syndrome?

Answer 14

late pericarditis

Question 15

what mediates dresslers syndrome?

Answer 15

autoimmune mechanism post MI

Question 16

what sort of murmur do VSD patients present with?

Answer 16

harsh, holosystolic murmur on LLSB with THRILL, S3 present, loud P2, TR

Question 17

Older pts, Females, H/O HTN; First MI, Delayed or absent reperfusion with harsh holosystolic murmur on LLSB

Answer 17

VSD

Question 18

acute mitral regurg occurs after what type of MI?

Answer 18

inferior wall

Question 19

which muscle is typically involved in thos that develop acute mitral regurg?

Answer 19

posteriomedial papillary muscle

Question 20

____ may present with thrill, _____does not present with thrill

Answer 20

VSD, acute mitral regurgitation

Question 21

sudden hemodynamic collapse, cardiac tamponade, PEA arrest; may have transient bradycardia before rupture & will be restless, nauseas, anxious before event

Answer 21

acute free wall rupture

Question 22

contained rupture, present with pericardial pain, hypotension

Answer 22

subacute free wall rupture

Question 23

mechanisms of intraaortic balloon pump: ______coronary blood flow during diastole & _____afterload during systole by _______at systole onset

Answer 23

Augments coronary blood flow during diastole

Decreases afterload during systole by deflating at the onset of systole