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

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

5. Arrhtyhmia Brady complete heart block Tachy VT, V fib

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

7. Mechanical Complications Free Wall Rupture VSD Papillary Muscle Rupture

8. Free Wall Rupture

9. Ruptured Papillary Muscle

10. VSD

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

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