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

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

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  • Slide 1
  • UH-OH! Post MI Complications James E Klemis, MD FACC, FSCAI Stern Cardiovascular Foundation
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  • Slide 3
  • Overview Mechanical LV/RV failure, Cardiogenic Shock Structural Free wall rupture, VSD, papillary muscle rupture Electrical Arrhythmias VT, Heart Block Other Pericarditis, Dresslers
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  • Slide 5
  • Arrhtyhmia Brady complete heart block Tachy VT, V fib
  • Slide 6
  • Thromboembolic Stroke - 3-6% of large anterior MI 3mos anticoagulation
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  • Mechanical Complications Free Wall Rupture VSD Papillary Muscle Rupture
  • Slide 8
  • Free Wall Rupture
  • Slide 9
  • Ruptured Papillary Muscle
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  • VSD
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  • Pericarditis Pleuritic, persistent, positional NSAID, Colchicine diffuse STE, PR depression rub
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  • Dresslers Syndrome weeks post MI Pericardial, pleural effusions CP, pleurisy