UH-OH! Post MI Complications James E Klemis, MD FACC, FSCAI Stern Cardiovascular Foundation.

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Presentation transcript:

UH-OH! Post MI Complications James E Klemis, MD FACC, FSCAI Stern Cardiovascular Foundation

Overview Mechanical LV/RV failure, Cardiogenic Shock Structural Free wall rupture, VSD, papillary muscle rupture Electrical Arrhythmias VT, Heart Block Other Pericarditis, Dresslers

Arrhtyhmia Brady complete heart block Tachy VT, V fib

Thromboembolic Stroke - 3-6% of large anterior MI 3mos anticoagulation

Mechanical Complications Free Wall Rupture VSD Papillary Muscle Rupture

Free Wall Rupture

Ruptured Papillary Muscle

VSD

Pericarditis Pleuritic, persistent, positional NSAID, Colchicine diffuse STE, PR depression rub

Dressler’s Syndrome weeks post MI Pericardial, pleural effusions CP, pleurisy

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