The dangerous complication in the second week of massive myocardial infarction is: (AIIMS May 2013)
|A||Congestive heart failure|
|B||Rupture of the heart|
Complications of MI:
a. Arrhythmias (MC) b. CHF c. Cardiogenic shock
d. Mural thrombosis and thromboembolism. e. Rupture of heart (5%) (4-5 day-2 week)
f Cardiac Aneurysm (Left ventricle) g. Pericarditis (2nd day)
h. Post myocardial infarction syndrome
i. In 3-4% of pt.
ii. Also called Dressler's syndrome occurs 1-6 wks after attack.
iii. Main cause of sudden death in 1st 24 hrs is cardiac arrhythmias.
Cardiac arrhythmias occur in 75-95% of complicated cases (subendocardial infarct)