1. Acute Myocardial Infarction Joseph D. Lynch, MD

2. Acute Myocardial Infarction Mechanism Clinical Presentation Diagnosis Management

5. 30% Defibrillation, hemodynamic monitoring, ß blockade 15% Thrombolysis/PTCA, ASA 6.5% Short Term Mortality, %

6. Diagnosis of Myocardial Infarction Clinical Presentation Electrocardiogram Cardiac Markers

11. Management Pre-Hospital Emergency Department First 24 hours

12. ST segment elevation infarction Open vessel Non ST segment elevation infarction Aspirin Heparin Etc. (Keep vessel open)

15. Early Issues Oxygen Nitroglycerin Aspirin Thrombolysis Primary PTCA Early Angiography Urgent CABG

16. Additional Drugs Heparin Beta Blocking Agents Ace Inhibitor Calcium Channel Blocker

17. Hospital Management Monitor Rest Pain Control Swan Ganz Catheter Lamp Arrhythmias Pacemakers

18. Complications of Infarction Arrhythmias Pump Failure Emboli Pericarditis Papillary Muscle Dysfunction Ventricular Septal Rupture LV Wall Rupture LV Aneurysm

20. After 24 Hours Pre-discharge Preparation Long-Term Management

21. Long Term Medications Beta Blocker Ace Inhibitors Aspirin Anticoagulants Statins