Scribd Logo
Upload

Welcome to Scribd!

  • 27 views

    Week 5-14 Notes 3 (Dragged) 6

    Uploaded by

    navkkirangill
    The most common complication of myocardial infarction is dysrhythmias, which occur in 80% of MI patients and are the most common cause of death in the pre-hospital period. Other common complications include heart failure, cardiogenic shock, papillary muscle dysfunction causing mitral valve regurgitation, ventricular aneurysms resulting from thinning and bulging of the infarcted myocardial wall, and acute pericarditis which can lead to cardiac compression and decreased left ventricular filling and emptying. A late complication is Dressler syndrome, characterized by pericarditis with effusion and fever developing 4 to 6 weeks after MI.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Week 5-14 Notes 3 (Dragged) 6

    Uploaded by

    navkkirangill
    27 views1 page
    The most common complication of myocardial infarction is dysrhythmias, which occur in 80% of MI patients and are the most common cause of death in the pre-hospital period. Other common complications include heart failure, cardiogenic shock, papillary muscle dysfunction causing mitral valve regurgitation, ventricular aneurysms resulting from thinning and bulging of the infarcted myocardial wall, and acute pericarditis which can lead to cardiac compression and decreased left ventricular filling and emptying. A late complication is Dressler syndrome, characterized by pericarditis with effusion and fever developing 4 to 6 weeks after MI.

    Original Description:

    35,36

    Original Title

    Week 5-14 Notes 3 (dragged) 6

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The most common complication of myocardial infarction is dysrhythmias, which occur in 80% of MI patients and are the most common cause of death in the pre-hospital period. Other common complications include heart failure, cardiogenic shock, papillary muscle dysfunction causing mitral valve regurgitation, ventricular aneurysms resulting from thinning and bulging of the infarcted myocardial wall, and acute pericarditis which can lead to cardiac compression and decreased left ventricular filling and emptying. A late complication is Dressler syndrome, characterized by pericarditis with effusion and fever developing 4 to 6 weeks after MI.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    27 views1 page

    Week 5-14 Notes 3 (Dragged) 6

    Uploaded by

    navkkirangill
    The most common complication of myocardial infarction is dysrhythmias, which occur in 80% of MI patients and are the most common cause of death in the pre-hospital period. Other common complications include heart failure, cardiogenic shock, papillary muscle dysfunction causing mitral valve regurgitation, ventricular aneurysms resulting from thinning and bulging of the infarcted myocardial wall, and acute pericarditis which can lead to cardiac compression and decreased left ventricular filling and emptying. A late complication is Dressler syndrome, characterized by pericarditis with effusion and fever developing 4 to 6 weeks after MI.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 1

    What is the most common Complication of Myocardial Dysrhythmias Infarction?

    Co!aborative Care: Acute Coronary Syndrome


    ➢ Most common complication
    ➢ Present in 80% of MI patients
    Emergency management
    ➢ Most common cause of death in the prehospital period
    ➢ Initial interventions
    ➢ Life-threatening dysrhythmias seen most often with anterior MI, heart failure, or shock
    ➢ Ongoing monitoring
    • Heart failure
    Emergent PCI
    ➢ A complication that occurs when the pumping power of the heart has diminished
    ➢ Treatment of choice for con#rmed MI
    ➢ Ba!oon angioplasty + drug-eluting stent(s)

    Fibrinolytic therapy
    Complications of Myocardial Infarction ➢ Indications and contraindications
    • Cardiogenic shock ➢ Best marker of reperfusion: return of ST segment to
    ➢ Occurs when inadequate oxygen and nutrients are supplied to the tissues because of severe LV failure baseline
    ➢ Requires aggressive management ➢ Rescue PCI if thrombolysis fails
    • Papi!ary muscle dysfunction ➢ Major complication: bleeding
    ➢ Causes mitral valve regurgitation
    ➢ Condition aggravates an already compromised LV Coronary surgical revascularization
    • Ventricular aneurysm ➢ Coronary artery bypass graft (CABG) surgery
    ➢ Results when the infarcted myocardial wa! becomes thinned and bulges out during contraction • Requires sternotomy and cardiopulmonary bypass (CPB)
    Dressler syndrome • Uses arteries and veins for grafts
    ➢ Minima!y invasive direct coronary artery bypass
    (MIDCAB)
    Complications of Myocardial Infarction
    • Alternative to traditional CABG
    • Acute pericarditis
    • An in"ammation of visceral and/or parietal pericardium
    Drug therapy
    • May result in cardiac compression, ↓ LV #!ing and emptying, heart failure
    ➢ IV nitroglycerin
    • Pericardial friction rub may be heard on auscultation
    ➢ Morphine sulphate
    • Chest pain di$erent from MI pain
    ➢ β-Adrenergic blockers
    ➢ Angiotensin-converting enzyme inhibitors
    Dressler syndrome
    ➢ Antidysrhythmia drugs
    ➢ Cholesterol-lowering drugs
    • Characterized by pericarditis with e$usion and fever that develop 4 to 6
    ➢ Stool softeners
    weeks after MI
    • Pericardial (chest) pain
    Pericardial friction rub may be heard on auscultation
    ➢ Arthralgia

    You might also like