Lifethreateningarrhythmias complications

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Unformatted text preview: score> 2, active ECG changes, refractory pain, + marker Stanford NON STEMI NON STEMI Antiplatelets Anti­ischaemics Anticoagulants Aspirin, clopidogrel, GP IIb­IIa inhibitors UFH, LMWH, DTIs, Fondaparinux, Vit K heparin antags Coronary revascularisation Recurrent chest pain Heart failure Life threatening arrhythmias Complications Complications Arrhythmias Atrial fibrillation, ventricular tachycardia, ventricular fibrillation Sudden cardiac death Bleeding complications Congestive cardiac failure/Shock Rupture of the septum or free wall Pericarditis Thromboembolism Chronic heart failure Chronic heart failure Multiple areas of infarction leading to ventricular dysfunction Occasionally hibernating myocardium which will improve with reperfusion. Management consists of heart failure drugs+/­ revascularisation End­stage­ heart transplant Long Term Management Long Term Lifestyle modification Risk factor modification Lipid lowering therapy Beta­blockers with reduced LV function ACE inhibitors ARB blockers Aldosterone receptor antagonists Long Term Management Long Term Management Education Rehabilitation Stress testing 4­6 weeks post event Bibliography Bibliography Braunwald’s Heart Disease ESC Guidelines for angina and NonSTEMI AHA/ACC Guidelines for UA/angina/STEMI Harrison’s Textbook of Medicine The Toronto Notes...
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This document was uploaded on 01/10/2014.

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