The Internet Book of Critical Care Podcast
IBCC Episode 61 - Post MI Complications
Oct 24, 2019
This podcast discusses various complications that can arise in post MI patients, including bleeding complications, pericarditis, re-infarction, mitral valve cordal rupture, and ventricular septal defect rupture. It provides insights on the management of these complications, including the challenges, diagnostic tests, and treatment options.
19:45
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Quick takeaways
- Post-MI patients may experience access issues such as retroperitoneal hematoma, requiring CT angiography and supportive measures.
- Post-MI complications can include pericarditis, necessitating high-dose aspirin and potential pericardial drainage for large effusions.
Deep dives
Access issues and complications in post-MI patients
Access issues, such as retroperitoneal hematoma, can occur in post-MI patients. Severe hemorrhage may present as hypotension and shock. Other causes of shock should be considered. Diagnosis involves careful CT angiography to detect active extravasation. Supportive measures and packed red blood cell transfusions may be required. Interruption of anticoagulation is important, especially if the patient is on a heparin infusion. Interventional control or vascular surgery may be necessary.
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