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IHD/CAD (ACS (STEMI (COMPLICATIONS (MONTHS (DRESSLER SYNDROME
AUTOIMMUNE…
IHD/CAD
ACS
UNSTABLE ANGINA
- CHEST PAIN @ REST
- REVERSIBLE INJURY TO MYOCTES
- INCOMPLETE OCCLUSION OF CORONARY AA.
- HIGH RISK PROGRESSION TO MI
- SUBENDOCARDIAL ISCHAEMIA = ST SEGMENT DEPRESSION
STEMI
CAUSES
- ATHEROSCLEROSIS
- EMBOLI
- VASCULITIS
COMPLICATIONS
MONTHS
DRESSLER SYNDROME
- AUTOIMMUNE PERICARDITIS
- BLOOD MAKES CONTACT C PERICARDIUM
- ANTIBODIES AGAINST PERICARDIUM
- 6-8wk POST MI
-
-
4-7d
PAPILLARY MUSCLE RUPTURE
- MITRAL INSUFFICIENCY
- R PAPILLARY MUSCLE BLD SUPPLY = RCA
INTERVENTRICULAR SEPTUM RUPTURE
CARDIAC TAMPONADE
- VENTRICULAR FREE WALL RUPTURE
- FLUID IN PERICARDIAL SPACE
1-3d
- FIBRINOUS PERICARDITIS
- CHEST PAIN C FRICTION RUB
-
<4HRS
- CARDIOGENIC SHOCK
- CHF
- ARRHYTHMIA
PATHOGENESIS
- NECROSIS OF MYOCYTES
- COMPLETE OCCLUSION AFTER RUPTURE
- ^20 MIN
-
ANGINA
STABLE ANGINA
- EXERTIONAL PAIN
- REVERSIBLE INJURY TO MYOCYTES
- ^70% STENOSIS
- PRESENTATION
- CHEST PAIN <20MIN
- SOB
- DIAPHORETIC
- SUBENDOCARDIAL ISCHAEMIA = ST SEGMENT DEPRESSION
PRINZMETAL ANGINA
- EPISODIC CHEST PAIN
- REVERSIBLE INJURY TO MYOCYTES
- CORONARY AA. VASOSPASM
- TRANSMURAL ISCHAEMIA = ST SEGMENT ELEVATION
SUDDEN CARDIAC DEATH
- C/OUT Sx OR <1HR AFTER Sx
- 90% C SEVERE ATHEROSCLEROSIS
- USUALLY DUE TO FATAL VENTRICULAR ARRHYTHMIA