Myocardial Infaction Complications - Revision history

Neil.m.young: Redirected page to Myocardial infarction complications

2016-05-22T23:51:53Z

Redirected page to Myocardial infarction complications

← Older revision		Revision as of 23:51, 22 May 2016
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	#REDIRECT [[~~Myocardial_Infarction_Complications~~]]		#REDIRECT [[Myocardial infarction complications]]

Alvarez13: Redirected page to Myocardial Infarction Complications

2016-05-15T23:36:53Z

Redirected page to Myocardial Infarction Complications

← Older revision		Revision as of 23:36, 15 May 2016
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	~~==MI Complications==~~		#REDIRECT [[Myocardial_Infarction_Complications]]

	~~===LV Free Wall Rupture===~~
	*5-14 days after MI, earlier in thrombolysis pts
	*Leaking of fluid outside can cause tamponade
	**Look for JVD, pulsus paradoxus, diminished sounds
	*Emergent Echo if stable
	*Give IVF and consult CV surgery for pericardiocentesis and thoractomy

	~~===LV Aneurysm===~~
	*Usually chronic and can persis for >6 wks after MI
	*Tends to occur with ant MI
	*Emergent Echo if stable
	*Treat cardiogenic shock, anticoagulate if mural thrombus
	*Defibrillate ventricular arrythmias

	~~===Septum rupture===~~
	*3-7 days after MI
	*Blood fills RV
	**Listen for holosystolic murmur
	*Emergent Echo if stable
	*Reduce afterload with vasodilators and consult CV surgery
	*Consider IABP

	~~===Papillary muscle rupture===~~
	*2-7 days after MI
	*Listen for murmur at apex
	*Emergent Echo if stable
	*Reduce afterload with vasodilators and consult CV surgery
	*Consider IABP



	~~==Complications Based on MI Location==~~
	~~===Anteroseptal MI Complications===~~
	*Look at V2-V4,5
	*CHF/Cardiogenic shock
	**Large area of myocardium involved
	*Bradycardia
	**Bundles thru septum knocked out leading to wide complex
	*Myocardial tissue rupture
	*LV aneursym

	~~===Inferior MI Complications===~~
	*Look at II, III, aVF
	*Bradycardias and AV block
	**Increased vagal tone
	**Sinus Node supplied by RCA in 60% of patients
	**AV node supplied by RCA in 90% of patients
	*Papillary muscle rupture
	**RCA supplies inferior septum
	**MI + new murmur + CHF think valve injury

	~~===Right Ventricle MI Complications===~~
	*Inf MI with ST elev III>II, ST elev V1>V2, ST dep V2
	**Lead III and V1 looks most at R side of heart
	*RV mostly supplied by RCA
	*Hypotension most severe complication
	**Volume load
	**AVOID vasodilators, do not give SLNG


	~~==See Also==~~
	* [[~~ACS - Anatomical Correlation~~]]
	* [[ST-Elevation Myocardial Infarction (STEMI)]]
	* [[NSTEMI]]

	~~==External Links==~~

	~~==Sources==~~
	~~<references/>~~

Alvarez13 at 23:29, 15 May 2016

2016-05-15T23:29:03Z

@@ Line 1: / Line 1: @@
-==Anteroseptal MI Complications==
+==MI Complications==
 *Look at V2-V4,5
 *CHF/Cardiogenic shock
@@ Line 6: / Line 40: @@
 **Bundles thru septum knocked out leading to wide complex
 *Myocardial tissue rupture
-==Inferior MI Complications==
+===Inferior MI Complications===
 *Look at II, III, aVF
 *Bradycardias and AV block
@@ Line 17: / Line 52: @@
 **MI + new murmur + CHF think valve injury
-==Right Ventricle MI Complications==
+===Right Ventricle MI Complications===
 *Inf MI with ST elev III>II, ST elev V1>V2, ST dep V2
 **Lead III and V1 looks most at R side of heart
@@ Line 24: / Line 59: @@
 **Volume load
 **AVOID vasodilators, do not give SLNG

Alvarez13 at 22:48, 15 May 2016

2016-05-15T22:48:12Z

@@ Line 1: / Line 1: @@
 ==Inferior MI Complications==
-*Bradycardias
+*Look at II, III, aVF
 **Increased vagal tone
 **Sinus Node supplied by RCA in 60% of patients
@@ Line 6: / Line 15: @@
 *Papillary muscle rupture
 **RCA supplies inferior septum

Alvarez13: Created page with "==Inferior MI Complications== *Bradycardias Increased vagal tone Sinus Node supplied by RCA in 60% of patients **AV node supplied by RCA in 90% of patients *Papillary musc..."

2016-05-15T22:15:26Z

Created page with "==Inferior MI Complications== *Bradycardias **Increased vagal tone **Sinus Node supplied by RCA in 60% of patients **AV node supplied by RCA in 90% of patients *Papillary musc..."

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