What should I monitor after STEMI?
Once hospitalized, the patient with acute MI should be continuously monitored by electrocardiography and the diagnosis of acute MI confirmed by serial ECGs and measurements of serum cardiac markers of myocyte necrosis, such as creatine kinase isoenzymes or cardiac specific troponin T or I.
What do you do after STEMI?
Post-STEMI Recovery Stopping smoking is essential. It’s important patients follow up with their doctors. Drugs should be used to control blood pressure such as amlodipine if uncontrolled. After a STEMI patients will be enrolled in cardiac rehabilitation that is a program they attend on a regular basis.
When should I follow up after MI?
The guidelines state that “it is common practice to see the patient three to six weeks after discharge.”24(pE156) Similarly, for patients with non-STEMI, current guidelines recommend outpatient follow-up for low-risk patients and those patients who have undergone revascularization within 2 to 6 weeks, and earlier …
What are common complications after an MI?
Complications associated with myocardial infarction
- Disturbance of rate, rhythm and conduction.
- Cardiac rupture.
- Heart failure.
- Pericarditis.
- Ventricular septal defect.
- Ventricular aneurysm.
- Ruptured papillary muscles.
- Dressler’s syndrome.
How do you manage STEMI?
Initial medical therapy during STEMI consists of oxygen administration, antiplatelet therapy (aspirin, thienopyridines and glycoprotein IIb/IIIa inhibitors), anticoagulation, anginal pain relief with nitrates and morphine, and beta-blockade.
What is an angioplasty?
What is angioplasty? Angioplasty is a procedure used to open blocked coronary arteries caused by coronary artery disease. It restores blood flow to the heart muscle without open-heart surgery. Angioplasty can be done in an emergency setting such as a heart attack.
How do you manage a STEMI?
How do you treat a STEMI?
The priority in treating a STEMI heart attack is to open the artery quickly, saving as much heart muscle as possible. Treatment options include percutaneous coronary intervention (PCI), a term that encompasses both angioplasty and stenting; clot-busting medication; and coronary artery bypass graft surgery (CABG).
Why is aspirin given for MI?
Aspirin is effective in reducing the blood clots that are blocking a coronary artery during an acute heart attack. Anyone who has already had a heart attack, or who has an increased risk of having one in the future, should always carry a few non-coated adult aspirins with them.
What drugs are given after myocardial infarction?
Clopidogrel and ticagrelor are recommended for conservative medical management of MI in combination with aspirin (162 to 325 mg per day) for up to 12 months. Early administration of beta blockers is recommended during hospitalization after an MI.
What is the most common complication of myocardial infarction 1 to 3 days after?
Pericarditis: Post infarction pericarditis usually begins several days after the infarct, due to an inflammatory exudate in the pericardium.
What is the most common early complication of a myocardial infarction?
Pericarditis. Pericarditis is most common following an anterior infarction. The incidence of early pericarditis after AMI is approximately 10%. Pericarditis usually develops between 24 and 96 hours after AMI.