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Myocardial infarction

Prevalence
Clinical features
Differential diagnosis
Investigations
Therapy
Prevention
Prognosis
Prognosis

Complications

Watch out for b

  • arrhythmias
  • mitral regurgitation
  • ventricular septal rupture
  • signs of heart failure
  • post-infarct angina 

Why?

  • Complications are common, particularly arrhythmias and cardiogenic shock. b
  • Half of patients with inferior MI have complications (47%: 95% CI: 40% to 54%) a

Common complications include AV block, cardiogenic shock and ventricular fibrillation

Complication b
(95% CI)
NNF at 30 days 
(95% CI)
AV block 8.2% 
(7.9% to 8.5%)
12 
(12 to 13)
ventricular fibrillation 6.6% 
(6.4% to 6.9%)
15 
(15 to 16)
sustained ventricular tachycardia 6.1% 
(5.9% to 6.3%)
16 
(16 to 17)
asystole 5.7% 
(5.4% to 5.9%)
18 
(17 to 18)
cardiogenic shock 7.2% 
(7.0% to 7.5%)
14 
(13 to 14)
acute mitral regurgitation 1.4% 
(1.3% to 1.5%)
72 
(66 to 78)
ventricular septal defect 0.48% 
(0.41% to 0.54%)
210 
(190 to 250)

 

 

Expiry date: November 2003
Levels of Evidence used in grading these guides

Author   CM   Ball , N   Shenker
Reviewer   S   Straus
CAT Writers   CJ   Wotton , N   Shenker , B   Phillips , CM   Ball