Complications of Myocardial Infarction

EM Clerkship

Zack Olson, MD and Michael Estephan, MD

Education, Courses, Health & Fitness, Medicine

5 • 795 Ratings

🗓️ 29 April 2018

⏱️ 10 minutes

🔗️ Recording | iTunes | RSS

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Summary

Mnemonic: DARTH VADER Death Arrhythmia ACS patients need to be placed on cardiac monitor Frequently degenerate into non-perfusing rhythms Rupture of Ventricle Occur within a few days of myocardial infarction Rapid decompensation Bedside ultrasound will show pericardial effusion and tamponade Tamponade Multiple etiologies Rupture of ventricle (see above) Pericarditis Becks Triad Jugular vein distension Muffled […]

Transcript

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0:00.0	Hello, med students. My name is Zach Olson, and thank you for downloading this week's episode of the EM Clerkship Podcast.
0:11.0	Big episode this week. Today, I'm going to teach you about heart attack complications, the whole list.
0:18.8	This is kind of part two to our STEME episode. Anybody who is having an
0:24.4	MI or recently had a heart attack, even if they got stented or whatever, you still need an
0:31.4	organized approach for how to think the rest of the way, all the way through that case.
0:40.7	It does not end with aspirin,
0:46.9	plavix, heparin, cath. Cognitively, there's a next level to this, which I want us to learn.
0:53.0	It is another mnemonic episode. Sorry if you don't like mnemonics. this is the Darth Vader mnemonic for complications of
0:55.1	MI.
0:56.0	Fairly well known as far as I can tell.
0:58.9	Darth Vader.
0:59.8	The complications of MI are death, erythmia, rupture of the ventricle, tamponod, heart failure, and then Vader, valve failure, aneurism,
1:20.0	Dressler syndrome slash paracarditis, embolism, and then recurrence of the MI. It's a long list. All I want you to remember today is that the
1:32.4	Darth Vader mnemonic exists. We'll be sure to get this into the show notes so that when you do
1:37.9	run into one of these cases, whether it's during your clerkship or in residency, you can look
1:42.9	everything back up quickly and then go through this again.
1:46.6	So starting from the top, Darth Vader.
1:50.8	D.
1:51.9	Death.
1:52.9	Okay, obvious.
1:53.9	Let's save some time here.
1:55.2	All of those cardiac arrests that are coming into the department, CPR in progress.
	...

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