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ACUTE CORONARY SYNDROME-ANTERIOR VS INFERIOR MI

Cardiology

ACUTE CORONARY SYNDROME-ANTERIOR VS INFERIOR MI

1. MR due to papillary muscle dysfunction is seen more commonly with inferior Mls.

2. VSD from septal rupture is seen more commonly with anterior and inferior Mls.

3. Arrhythmias in the first 48 hours after Mls are due to acute ischemia (or are reperfusion-related) and do not imply a need for long-term antiarrhythmic therapy.

4. Inferior Mis are associated with more stable arrhythmias, such as junctional escape and Mobitz I, instead of the poorer prognosis with Mobitz 2 and BBB in anterior MI.

5. The amount of infarcted myocardium is typically larger with anterior Ml.


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REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

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