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COMPLICATIONS OF AMI

COMPLICATIONS OF Acute Myocardial Infarction (AMI) AND TREATMENT -2

Some other COMPLICATIONS OF AMI AND TREATMENT ARRHYTHMIAS RECURRENT ANGINA PERICARDITIS THROMBOEMBOLISM LV ANEURYSM Other measures: – 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   1. COMPLICATIONS OF AMI ARRHYTHMIAS Ventricular premature beats (VPB) : No prophy­lactic [...]
July 31, 0
COMPLICATIONS OF AMI

COMPLICATIONS OF AMI AND TREATMENT -1

  COMPLICATIONS OF AMI AND TREATMENT TRICULAR DYSFUNCTION RV INFARCTION RUPTURE OF FREE WALL CARDIOGENIC SHOCK VENTRICULAR SEPTAL DEFECT (VSD) MITRAL REGURGITATION (MR)   1. VENTRICULAR DYSFUNCTION Ventricular remodeling is a series of changes in shape, size and thickness of ventricular myocar­dium after infarction. This leads to global LV dys­function and CHF.   Killip’s classification [...]
July 31, 0
AMI Coronary Care Unit (CCU)

COMPLETE MANAGEMENT OF AMI Coronary Care Unit (CCU)

COMPLETE MANAGEMENT OF AMI Coronary Care Unit (CCU) Patients of AMI are admitted to CCU for monitoring of all vital parameters, management of arrhythmias, thrombolytic therapy. For more  management-of-acute-myocardial-infarction-ami and  acute-myocardial-infarction-management-regime-for-management-of-ami Sedation DiazeRam Lorazepam Reassurance Quiet surroundings. Diet Liquids for 1St 12 hours. Fat <30 % of total calories, carbohydrate – 50% of total calories, [...]
July 31, 0
Ischemic Cardiomyopathy 2

Acute Myocardial Infarction Management REGIME FOR MANAGEMENT OF AMI

  REGIME FOR MANAGEMENT OF AMI Twelve lead ECG is done. Or If there is ST elevation more than 1 mm in any lead or 2 mm in V1′ V2 , In comparison, fibrinolytic therapy has largely not been effective in patients with a non-ST elevation MI (NSTEMI) then reperfusion therapy is given with streptokinase, [...]
July 31, 0
Atherosclerosis 1

MANAGEMENT of Acute Myocardial Infarction (AMI) -1

  MANAGEMENT of Acute Myocardial Infarction (AMI)   MANAGEMENT Management involves Prompt attention and diagnosis. Reperfusion therapy Management of pain. MI is a medical emergency; Typical treatment for the patient includes: diagnosis and treatment should not be delayed. administering oxygen immediately, and giving aspirin and beta blockers, unless there are strong contraindications. ordering fibrinolytic drugs [...]
July 31, 0
2D echocardiography 1

CARDIAC IMAGING echocardiography 2D Echo

CARDIAC IMAGING Very useful.   2D Echo RV infarction: diagnosed by Echo Ventricular aneurysm Pericardial effusion y LV thrombus Wall motion abnormalities are seen Old scars can also cause WMA Decreased LV function is indication for ACE in­hibitor VSD MR is diagnosed easily.   dobutamine stress echocardiography: noninvasive test for coronary artery disease in which [...]
July 31, 2
Acute Myocardial Infarction 1

CARDIAC MARKERS IN MI, AMI and Myocardial Injury

CARDIAC MARKERS IN MI Serum proteins released in blood from necrotic heart muscles after AMI are called serum markers .   Creatinine phosphokinase (CK) Rises in 4 – 8 hours. Returns to normal in 48 – 72 hours.   CK increased in : IM injections Stroke Surgery Trauma Skeletal muscle diseases Electrical cardioversion Hypothyroidism Convulsions, [...]
July 31, 0
PRESENTATIONSOFIHD1_thumb.jpg

Acute Myocardial Infarction (AMI) CLINICAL PRESENTATION AND PHYSICAL FINDINGS

CLINICAL PRESENTATION Acute Myocardial Infarction is precipitated by exer­tion, exercise, emotional stress, medical and surgical disease and interventions. Circadian variation – AMI is more common in early morning hours due to increase in sympathetic tone and increased thrombolytic tendency from 4 to 12 AM. Acute myocardial infarction (AMI) is the rapid development of myocardial necrosis [...]
July 30, 0
Acute Myocardial Infarction CLINICAL PRESENTATION 1

Acute Myocardial Infarction CLINICAL PRESENTATION

Acute Myocardial Infarction CLINICAL PRESENTATION Acute Myocardial Infarction is precipitated by exer­tion, exercise, emotional stress, medical and surgical disease and interventions. Circadian variation – AMI is more common in early morning hours due to increase in sympathetic tone and increased thrombolytic tendency from 4 to 12 AM.   Acute Myocardial Infarction Pain: Pain is the [...]
July 1, 0
Ischemic Heart Disease (IHD) 1

Acute Myocardial Infarction (AMI) Causes PATHOPHYSIOLOGY and Etiology

Acute Myocardial Infarction AMI Causes PATHOPHYSIOLOGY  Atherosclerosis and Etiology Acute coronary syndrome (ACS) may present as unstable angina (no ST segment elevation), or acute myocardial infarction. Acute myocardial infarction (AMI) implies irreversible damage to the myocardium. MI Causes usually occurs when an atheromatous plaque in a coronary artery ruptures, and the resulting clot obstructs the [...]
June 24, 0
2D echocardiography 1

2D Echocardiography Dobutamine Stress Echocardiography

  2D echocardiography Doppler echocardiography A noninvasive diagnostic method that uses ultrasound to visualize cardiac structures. Shows global or RWMA (Regional Wall Motion Abnor­mality) in infarction and ischemia. in which dobutamine is given to patients to increase the workload of the heart, and then the heart is evaluated with ultrasonic imaging.   Types of echocardiography [...]
June 18, 0
Coronary Angiogrpahy 1

Coronary Angiography -Indications of Coronary Arteriography (Angiography)

  Coronary Arteriography (Angiography) Radio-opaque dye is injected into a peripheral artery and coronary arteries are visualized for any obstruc­tive atherosclerotic lesions. cardiac catheterization was primarily a diagnostic procedure that was used to evaluate ventricular function, and coronary anatomy hemodynamics,. diagnostic catheterization and percutaneous coronary intervention (PCI) are done by skin puncture ,under local anesthesia, [...]
June 18, 0
Stress Testing TMT 1

Stress Testing TMT – Treadmill stress test

  Stress Testing (TMT – Treadmill stress test) It is the best test for angina. 12 – lead ECG is recorded before, during, and after exercise on a bicycle or treadmill ergom­eter. Patient’s ECG, arm blood pressure, heart rate, symptoms are monitored and the work load is gradually increased. Exercise ECG testing is a preferred [...]
June 18, 0
Unstable Angina 1

Ischemic Heart Disease Physical Examination Lab Examination and Family history

Ischemic Heart Disease Physical Examination Lab Examination and Family history of premature IHD   Unstable Angina     Unstable angina is angina pectoris with typical char­acter of pain but certain atypical features like: It occurs at rest and lasts more than 10 minutes .2/. It is of new onset within the past 6 wks. It [...]
June 15, 0
PRESENTATIONS OF IHD 1

PRESENTATIONS OF ischemic heart disease(IHD)

PRESENTATIONS OF ischemic heart disease (IHD) Angina pectoris, acute MI or death may be the First presentation of IHD. Stable Angina Pectoris stable angina pectoris is chest pain due to coronary :; ischemia which is of very short duration and easily -relieved (within 5-10 minutes) by simple measures like rest. Exercise testing or ambulatory monitoring [...]
June 14, 0
Ischemic Heart Disease (IHD) 1

Ischemia Myocardial ischemia(MI) ECG and effects of ischemia

Ischemia Types Effects of Ischemia, Myocardial ischemia(MI) ECG ,vertebrobasilar ischemia and other metabolic changes A temporary deficiency of blood flow to an organ or tissue, Normal muscle contraction and relaxation af­fected Angina pectoris has been considered the cardinal symptom of myocardial ischemia for more than two centuries.   LVF (left ventricular failure) Papillary muscle dysfunction [...]
June 13, 0