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)
|
|