Some other COMPLICATIONS OF AMI AND TREATMENT
- ARRHYTHMIASSupraventricular tachycardia and Ventricular fibrillation Causes Diagnosis with Treatment. Read more ... »
- RECURRENT ANGINA
- LV ANEURYSM
- – Control of Hypertension
- – Physical activity
- – Avoid physical emotional stress.
- – Cessation of smoking
- – Control of blood lipids
AND OTHER COMPLICATIONS ARE complications-of-ami-and-treatment-1
- Ventricular premature beats (VPB) : No prophylactic treatment required
- Beta blockersMANAGEMENT of Acute Myocardial Infarction (AMI) -1. Read more ... » Correct potassium and magnesium levels.
- Ventricular tachycardia and fibrillation: Occurs within 24 hours and can be fatal
- IV lidocaine – 1 mg/kg bolus, 50 IJg/kg/min infusion.
- Electrical cardioversion.
- Amiodarone bolus 75 -150 mg in 10 minutes followed by 1 mg / min for 6 hours and then 0.5 mg / min.
- VT not responding to shock may respond after 1 mg IV epinephrine or 10 ml of 1 : 10,000 solution intra cardia!.
- For torsade de pointes treat hypoxia! hypokalemia and other electrolyte disturbances.
- Late VF that develops due to pump failure has a very poor prognosis.
- Accelerated idioventricular rhythm: at a rate of 60 to 100 beats per minutes can occur during thrombolytic therapy during reperfusion.
- Treatment: Not required
- Sinus bradycardia
- If there is hemodynamic upset atropine is given 0.5mg IV and additional 0.2mg repeated.
- Pacing may be required.
- Supraventricular Arrhythmias
- · Sinus tachycardia
- · SVT – Supraventricular tachycardia
- ·Accelerated junctional rhythms.
- Atrioventricular and Intraventricular conduction disturbances
- If there is anterior wall MI the AV block may be permanent and requires permanent pacing.
- If there is inferior wall MI, AV block is temporary due to increased vagal tone and requires only temporary pacing.
2. COMPLICATIONS OF AMI RECURRENT ANGINA –
- Post MI unstable Angina
- May require coronary angiographyCoronary Angiography -Indications of Coronary Arteriography (Angiography). Read more ... » and reperfusion.
- Repeat thrombolysis.
- Add GP IIb / IIIa antagonist.
3. COMPLICATIONS OF AMI PERICARDITIS
- There is pericardial rub and pericardial pain. Anticoagulant should not be used as it can result in hemopericardium and cardiacHeart Failure Causes Symptoms NYHA classification with Heart Failure Treatment. Read more ... » tamponade.
- Steroids NSAIDs Aspirin.
4. COMPLICATIONS OF AMI THROMBOEMBOLISM
- Occurs in 10% and can go to systemic arteries from LV and pulmonary from leg veins.
5. COMPLICATIONS OF AMI LV ANEURYSM
- Occurs due to scarring and do not rupture. Complications of LV aneurysm are CHF, arterial embolism and ventricular arrhythmiasSupraventricular tachycardia and Ventricular fibrillation Causes Diagnosis with Treatment. Read more ... ».
- Pseudoaneurysm is myocardial rupture contained by local area of pericardium.
- Should be surgically repaired.
- Clopidogrel – ADP receptor antagonist ACE inhibitorsHeart Failure Treatment Heart Failure GENERAL PRINCIPLES. Read more ... »
- Beta BlockersMANAGEMENT of Acute Myocardial Infarction (AMI) -1. Read more ... »