By Jason N Katz; Chetan B Patel; M Kamran Aslam; Parkland Memorial Hospital (Dallas, Tex.); University of Texas Southwestern Medical School at Dallas
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A. Davis. A. Davis. A. Davis. A. Davis. A. Davis. A. Davis. A. Davis. A. Davis. A. Davis. A. Davis. A. Davis. A. Davis. A. Davis. A. Davis. A. Davis. A. Davis. A. Davis. A. Davis. A. Davis. A. Davis. A. Davis. Acute Coronary Syndromes and Risk Stratification 25 • Mechanical complications of acute MI (see section titled Complications Following Myocardial Infarction) • Cardiogenic shock (see section titled Complications Following Myocardial Infarction) Patient Care Warnings • Beware of post-MI angina • Check posterior leads with ST-segment depressions in V1-3 to rule out true posterior ST-segment elevations • Avoid nitrates and diuretics in patients with right-sided myocardial infarctions; fluids may be useful • Be cautious with beta blockers in patients with decompensated heart failure in the setting of MI; may consider esmolol as a test dose • Therapy in STEMI should not wait for the results of serum biomarkers • Does your patient have aspirin References ➌ 1.
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Gianrossi R, Detrano R, Mulvihill D, et al. Exercise-induced ST depression in the diagnosis of coronary artery disease: A meta-analysis. Circulation 1989;80:87-98. Garber AM, Solomon NA. Cost-effectiveness of alternative test strategies for the diagnosis of coronary artery disease. Ann Intern Med 1999;130:719-28. Morrow DA, Antman EM, Snapinn SM, et al. An integrated clinical approach to predicting the benefit of tirofiban in non-ST elevation acute coronary syndromes: Application of the TIMI risk score for UA/NSTEMI in PRISM-PLUS.